Ewaenosa Isidahome, MD
NPI 1063089514 · Pediatrics Physician · Bronx, NY
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ewaenosa Isidahome, MD is a Pediatrics Physician provider in Bronx, NY (NPI 1063089514).
Provider details
- NPI number
- 1063089514
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 330992 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-06-04
- Last updated
- 2024-11-22
- Certified
- 2024-11-22
Frequently asked questions
- What is Ewaenosa Isidahome's NPI number?
- Ewaenosa Isidahome's National Provider Identifier (NPI) is 1063089514, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ewaenosa Isidahome's specialty?
- Ewaenosa Isidahome is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Ewaenosa Isidahome located?
- Ewaenosa Isidahome's practice location on file with NPPES is 111 E 210th St, Bronx, NY 10467-2401.
- What is Ewaenosa Isidahome's phone number?
- The practice phone number listed in the NPPES registry for Ewaenosa Isidahome is (718) 920-4321.
- Does Ewaenosa Isidahome accept Medicare?
- Ewaenosa Isidahome is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ewaenosa Isidahome's NPI active?
- Yes — Ewaenosa Isidahome's NPI (1063089514) is active in the NPPES registry as of the last update on 2024-11-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.