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

Raphael Ndubuisi Ezeagu, MBBS

Individual provider Internal Medicine Physician · NPI 1609221555

Raphael Ndubuisi Ezeagu, MBBS is a Critical Care (Intensivists) in Brooklyn, New York. Qualified in 2009, 17 years ago. Practices with Blue Ridge Medical Management Corporation, a 286-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
17
Licensed in
TN
In the registry since
2016
Specialties on file
2
What do these letters mean?
MBBS — Bachelor of Medicine, Bachelor of Surgery
The medical degree awarded in the UK, India and many Commonwealth countries; equivalent to an MD.

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Practice location Address checks out

4802 10th Ave Maimonides Medical Ctr
Brooklyn, NY 11219-2916
Phone: (718) 283-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 N State Of Franklin Rd Rm 2746, Johnson City, TN 37604-6035 — (423) 431-2727

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 63181 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 63181 (TN)

Record details

NPI number1609221555
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBS
Sole proprietorYes
NPI enumeratedApril 28, 2016
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025

Medicare enrollment

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

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Blue Ridge Medical Management Corporation — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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