PROSPERITY EZEANUNA (MD) – Nephrology Physician, NPI 1235275900

PROSPERITY EZEANUNA (MD) is a healthcare provider. based in Bryan, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. N4405 (TX). The NPI Number for PROSPERITY EZEANUNA (MD) is 1235275900

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
PROSPERITY EZEANUNA (MD)
NPI
1235275900
Phone
(979) 985-5339
Address
1673 BRIARCREST DR STE 100B
Enumeration Date
30 January 2007
Last Update Date
2 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9794859401
Graduation Year
1996 (30 years ago)
PAC ID
2860569795
Professional Enrollment ID
I20100608000392
Address ID
TX778022815BR2310XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

13,297 INTERNAL MEDICINE in TX

Provider Addresses for PROSPERITY EZEANUNA (MD)

  • 1673 BRIARCREST DR STE 100B

    BRYAN, TX 778022756

    Phone: (979) 985-5339

    Fax: (979) 705-3505

    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 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-08-13 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-06-08

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
I20100608000392IInternal MedicineTXTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes19444$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)10915$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6147$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5521$0
View full utilization report →

Insurance plans in this area (ZIP 77802)

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Provider's Procedures

PROSPERITY EZEANUNA (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINETX90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older3219

Reviews

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Frequently asked questions

What is the 10-digit NPI for PROSPERITY EZEANUNA (MD)?
PROSPERITY EZEANUNA (MD) — NPI 1235275900 — is the standard way to identify this listing.
Can I rely on PROSPERITY EZEANUNA (MD) being an active provider?
As of the registry snapshot, PROSPERITY EZEANUNA (MD) is marked active.
What healthcare role does PROSPERITY EZEANUNA (MD) hold?
Scheduling teams often label PROSPERITY EZEANUNA (MD) under Nephrology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for PROSPERITY EZEANUNA (MD)?
PROSPERITY EZEANUNA (MD)'s geographic hint is Bryan, Texas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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