TOBENNA CHINWEIZU NDULUE M.B.,B.S.
NPI 1083416887
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Q: What is Tobenna Ndulue's NPI number?

The NPI number for Tobenna Ndulue is 1083416887. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Q: What is Tobenna Ndulue's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tobenna Ndulue was last updated on March 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 25, 2025PECOS Enrolled

1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 577-5634(314) 577-5616 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Tobenna Chinweizu Ndulue M.b.,b.s. NPPES

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

TOBENNA CHINWEIZU NDULUE M.B.,B.S. (NPI 1083416887) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083416887

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameTOBENNA CHINWEIZU NDULUECredential: M.B.,B.S.

Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003

Mailing Address1465 S Grand BlvdSaint Louis, MO 63104-1003 · (314) 577-5634 · Fax (314) 577-5616

Phone(314) 577-5634

Fax(314) 577-5616

Sole ProprietorNo

Enumeration DateMarch 25, 2025

NPPES CertifiedMarch 25, 2025

✔ NPI 1083416887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

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.

1465 S GRAND BLVD, Saint Louis, MO 63104

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tobenna Chinweizu Ndulue M.b.,b.s. 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.