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GINIKACHUKWU MARYLINDA AGUDOSI MD
NPI 1093146524
Student in an Organized Health Care Education/Training Program in Farmington, CT

Active since December 10, 2013PECOS Enrolled
263 FARMINGTON AVE, FARMINGTON, CT 06030(860) 679-4477 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 15, 2024, Mar 10, 2020 (2 updates tracked since 2020).

About Ginikachukwu Marylinda Agudosi Md NPPES

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

GINIKACHUKWU MARYLINDA AGUDOSI MD (NPI 1093146524) is an individual student in an organized health care education/training program in Farmington, Connecticut and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1093146524
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameGINIKACHUKWU MARYLINDA AGUDOSICredential: MD
Location Address263 FARMINGTON AVEFarmington, CT 06030-2342
Mailing Address263 Farmington AveFarmington, CT 06030-8021 · (860) 679-4477
Phone(860) 679-4477
Sole ProprietorNo
Enumeration DateDecember 10, 2013
Last NPPES UpdateApril 15, 20242 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
✔ NPI 1093146524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R205773 (MD)
263 FARMINGTON AVE, Farmington, CT 06030
Open in Google Maps ↗

Secondary Practice Location 1

Location 1900 23rd St NWWashington, DC 20037-2342 · Phone (202) 741-3373

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ginikachukwu Marylinda Agudosi Md 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.

STATE OF CONNECTICUT HEALTH CENTER
Pathology (Anatomic Pathology & Clinical Pathology)
263 FARMINGTON AVE, LABORATORY HBP GROUP
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-7503
MR. IAN THOMAS MCNEILL
Neurological Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-8080
DR. LUIS CHAVEZ DE PAZ DDS, MS, PHD
Dentist (Endodontics)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2719
TARUNYA REDDY VEDERE
Internal Medicine (Endocrinology, Diabetes & Metabolism)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3245
ZACHARY TALLENT SOLOMON
Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3467
MICHAEL CONNOLLY
Psychiatry & Neurology (Psychiatry)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4733
EMILY WENG DO
Internal Medicine (Gastroenterology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3158
ANDREW KEMERLEY DO
Student in an Organized Health Care Education/Training Program
263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-3467

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 Ginikachukwu Agudosi's NPI number?

The NPI number for Ginikachukwu Agudosi is 1093146524. It was assigned to this individual provider in the NPPES registry on December 10, 2013.

Where is Ginikachukwu Agudosi located?

Ginikachukwu Agudosi practices at 263 Farmington Ave, Farmington, CT 06030. The listed phone number is (860) 679-4477.

What is Ginikachukwu Agudosi's specialty?

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

Is Ginikachukwu Agudosi enrolled in Medicare?

Yes. Ginikachukwu Agudosi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ginikachukwu Agudosi was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.