MR. SIMBARASHE MATOI MB BCH BAO
NPI 1053056507
Student in an Organized Health Care Education/Training Program in Portland, ME

Active since April 29, 2022PECOS Enrolled
22 BRAMHALL STREET, PORTLAND, ME 04102(207) 662-0111 Get Directions Write a Review

NPPES record last updated: February 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 15, 2023, Apr 29, 2022 (2 updates tracked since 2022).

About Mr. Simbarashe Matoi Mb Bch Bao NPPES

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

MR. SIMBARASHE MATOI MB BCH BAO (NPI 1053056507) is an individual student in an organized health care education/training program in Portland, Maine, licensed in Maine (EC221082) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1053056507
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. SIMBARASHE MATOICredential: MB BCH BAO
Location Address22 BRAMHALL STREETPortland, ME 04102
Mailing Address58 Thirlmere AvenueSouth Portland, ME 04106 · (207) 245-5304
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 29, 2022
Last NPPES UpdateFebruary 15, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2023
NPI 1053056507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in ME · EC221082
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.
22 BRAMHALL STREET, Portland, ME 04102

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Simbarashe Matoi Mb Bch Bao is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587011770
PECOS Enrollment IDI20260612001003
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.

Physician Assistant
22 BRAMHALL STREET
PORTLAND, ME 04102
Nurse Anesthetist, Certified Registered
22 BRAMHALL STREET
PORTLAND, ME 04102
Anesthesiology
22 BRAMHALL STREET
PORTLAND, ME 04102
Pharmacist
22 BRAMHALL STREET
PORTLAND, ME 04102
Nurse Practitioner
22 BRAMHALL STREET
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
22 BRAMHALL STREET, PSA #5323A
PORTLAND, ME 04102
Nurse Practitioner (Adult Health)
22 BRAMHALL STREET
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
22 BRAMHALL STREET
PORTLAND, ME 04102

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 Simbarashe Matoi's NPI number?

The NPI number for Simbarashe Matoi is 1053056507. It was assigned to this individual provider in the NPPES registry on April 29, 2022.

Where is Simbarashe Matoi located?

Simbarashe Matoi practices at 22 Bramhall Street, Portland, ME 04102. The listed phone number is (207) 662-0111.

What is Simbarashe Matoi's specialty?

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

Is Simbarashe Matoi enrolled in Medicare?

Yes. Simbarashe Matoi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Simbarashe Matoi was last updated on February 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.