CHIBUEZE ROY EGERUOH
NPI 1023688322
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since June 29, 2021PECOS Enrolled
3900 WOODLAND AVE, PHILADELPHIA, PA 19104(215) 823-5800 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 11, 2024, Jul 26, 2023, Jun 29, 2021 (3 updates tracked since 2021).

About Chibueze Roy Egeruoh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHIBUEZE ROY EGERUOH (NPI 1023688322) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Connecticut (14066) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023688322
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHIBUEZE ROY EGERUOH
Location Address3900 WOODLAND AVEPhiladelphia, PA 19104-4551
Mailing Address3900 Woodland AvePhiladelphia, PA 19104-4551
Sole ProprietorYes
Enumeration DateJune 29, 2021
Last NPPES UpdateJune 11, 20243 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
NPI 1023688322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
License Licensed in CT · 14066
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DS043439 (PA)
3900 WOODLAND AVE, Philadelphia, PA 19104

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Chibueze Roy Egeruoh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
3900 WOODLAND AVE, PADRECC, #127
PHILADELPHIA, PA 19104
Social Worker (Clinical)
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Counselor (Addiction (Substance Use Disorder))
3900 WOODLAND AVE, ADDICTION RECOVERY UNIT 7TH FLOOR
PHILADELPHIA, PA 19104
Dietitian, Registered (Nutrition, Gerontological)
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Nurse Practitioner (Acute Care)
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Pharmacist (Pharmacotherapy)
3900 WOODLAND AVE, PHARMACY SERVICE #119
PHILADELPHIA, PA 19104
Physical Therapist
3900 WOODLAND AVE
PHILADELPHIA, PA 19104
Internal Medicine
3900 WOODLAND AVE
PHILADELPHIA, PA 19104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chibueze Egeruoh's NPI number?

The NPI number for Chibueze Egeruoh is 1023688322. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Where is Chibueze Egeruoh located?

Chibueze Egeruoh practices at 3900 Woodland Ave, Philadelphia, PA 19104. The listed phone number is (215) 823-5800.

What is Chibueze Egeruoh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Chibueze Egeruoh enrolled in Medicare?

Yes. Chibueze Egeruoh is registered in the Medicare PECOS enrollment system.

What insurance does Chibueze Egeruoh accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Paramount and 2 other insurers list Chibueze Egeruoh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chibueze Egeruoh was last updated on June 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.