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

Dr. Donald O. Ezuteh, MD

Individual provider Internal Medicine Physician · NPI 1053453795

Dr. Donald O. Ezuteh, MD is an Internal Medicine in Lebanon, Tennessee. Qualified in 1993, 33 years ago. Practices with Centerwell Senior Primary Care Tn PC, a 39-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
33
Licensed in
TN
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1436 W Main St
Lebanon, TN 37087-1323
Phone: (615) 965-6108
Fax: (877) 504-1444
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 40016 (TN)

Record details

NPI number1053453795
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 12, 2007
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Centerwell Senior Primary Care Tn Pc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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