Doctor profile · Federal record

Dr. KINGSLEY EBORU

Psychiatric/Mental Health Nurse Practitioner (CMS: NURSE PRACTITIONER) · GOODYEAR, AZ

  • NPI 1336916105
  • Accepts Medicare
  • 3 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
13555 W MCDOWELL RD STE 205
GOODYEAR, AZ 853952626
(623) 295-1190
Mailing address
5501 N 19TH AVE STE 425
PHOENIX, AZ 850152481

Credentials & registration

NPPES · NUCC
NPI registered
December 2023 — 3 yrs on file
Year of graduation
2023 — 3 yrs since
Specialty taxonomy
363LP0808X — NUCC code
State license (1)
Arizona #301080

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1336916105. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$335
Transactions
8
Manufacturers
5
Payer (manufacturer) Industry Txns Amount
Neurocrine Biosciences, Inc. 1 $123.90
ACADIA Pharmaceuticals Inc 2 $122.40
Teva Pharmaceuticals USA, Inc. 3 $55.48
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) 1 $17.45
Janssen Pharmaceuticals, Inc 1 $15.75

By nature of payment

Food and Beverage
$335