Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Daniel Ezidiegwu Jr.

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1184159444

Dr. Daniel Ezidiegwu Jr. is a Physical Medicine and Rehabilitation in Odenton, Maryland. Qualified in 2017, 9 years ago. Practices with Greater Maryland Pain Management LLC, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
9
Licensed in
MD
In the registry since
2017

Practice location Address checks out

1130 Annapolis Rd Ste 100
Odenton, MD 21113-1622
Phone: (410) 672-2255
Fax: (410) 672-2275
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7845 Oakwood Rd Ste 201, Glen Burnie, MD 21061-4257 — (410) 648-2439

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence H91622 (MD)

Record details

NPI number1184159444
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 25, 2017
Last updated in NPPESJune 28, 2023
Certification dateMarch 21, 2023
Mailing address1130 Annapolis Rd Ste 100, Odenton, MD 21113-1622

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Greater Maryland Pain Management Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Odenton