DR. DOLUE DAVID EZEANOLUE (MD) – Interventional Pain Medicine Physician, NPI 1700883014

DR. DOLUE DAVID EZEANOLUE (MD) is a healthcare provider. based in Las vegas, Nevada. specializing in INTERVENTIONAL PAIN MANAGEMENT, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 8421 (NV). The NPI Number for DR. DOLUE DAVID EZEANOLUE (MD) is 1700883014

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOLUE DAVID EZEANOLUE (MD)
NPI
1700883014
Phone
(702) 310-9110
Address
1701 BEARDEN DR
Enumeration Date
30 June 2005
Deactivation Date
20 March 2006
Reactivation Date
10 July 2006
Last Update Date
12 September 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7023109110
Graduation Year
1985 (41 years ago)
PAC ID
7315916244
Group Practice PAC ID
9335039783
Professional Enrollment ID
I20050407000716
Address ID
NV891064146LA1701XWAYX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

37 INTERVENTIONAL PAIN MANAGEMENT in NV

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Provider Addresses for DR. DOLUE DAVID EZEANOLUE (MD)

  • 1701, Wellness Way, Las Vegas, Clark County, Nevada, 89106, United States

    SUITE 200

    LAS VEGAS, NV 891064189

    Phone: (702) 310-9110

    Fax: (702) 310-9114

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 61 Open Payments records for all available years, with a total value of $1,966.

Total Amount is formed as General ($1,966) + Research ($0) + Ownership ($0) = $1,966.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($408).

Total Amount

$1,966

General + Research + Ownership

Payments

61

Total payment records

General Amount

$1,966

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-04-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050407000716IInterventional Pain ManagementNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg3,70585$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month2,047259$0
99214Established patient office or other outpatient visit, 30-39 minutes1,385345$0
99489Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month1,364260$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month1,133263$0
View full utilization report →

Insurance plans in this area (ZIP 89106)

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Provider's Procedures

DR. DOLUE DAVID EZEANOLUE (MD) performs procedures in INTERVENTIONAL PAIN MANAGEMENT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL PAIN MANAGEMENTNV64493Injections of lower or sacral spine facet joint using imaging guidance10055

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335039783View full group profile
NameSpecialtyState
Physician AssistantNV
Nurse PractitionerNV
Nurse PractitionerNV
Physician AssistantNV
Physician AssistantNV
P S Y C H I A T R YNV
Interventional Pain Management, Internal MedicineNV
Nurse PractitionerNV
-NV
-NV

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Frequently asked questions

What is DR. DOLUE DAVID EZEANOLUE (MD)'s NPI number?
DR. DOLUE DAVID EZEANOLUE (MD)'s NPI is 1700883014 — the number used across U.S. healthcare to identify this provider.
Is DR. DOLUE DAVID EZEANOLUE (MD) still an active registrant?
DR. DOLUE DAVID EZEANOLUE (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. DOLUE DAVID EZEANOLUE (MD)?
At a glance, DR. DOLUE DAVID EZEANOLUE (MD) is tied to Interventional Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Nevada is DR. DOLUE DAVID EZEANOLUE (MD) registered?
Use Las Vegas, Nevada as the headline location for DR. DOLUE DAVID EZEANOLUE (MD) here.
When was this NPI issued?
Enumeration for DR. DOLUE DAVID EZEANOLUE (MD) is noted as June 30, 2005 where the registry provides it.

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