EMMA LUDESI MAKOBA
NPI 1164041323
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since April 08, 2020PECOS EnrolledAccepts Medicare Assignment
747 BROADWAY, SEATTLE, WA 98122(206) 320-2000(206) 320-4780 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Emma Ludesi Makoba NPPES

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

EMMA LUDESI MAKOBA (NPI 1164041323) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (2020).

NPPES Registry Identity

NPI1164041323
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEMMA LUDESI MAKOBA
Location Address747 BROADWAYSeattle, WA 98122-4379
Mailing Address747 BroadwaySeattle, WA 98122-4379 · (206) 320-2000 · Fax (206) 320-4780
Fax(206) 320-4780
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2020
Enumeration DateApril 8, 2020
Last NPPES UpdateJune 23, 2022
NPPES CertifiedJune 23, 2022
✔ NPI 1164041323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
747 BROADWAY, Seattle, WA 98122

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emma Ludesi Makoba is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789002395
PECOS Enrollment IDI20240226002832
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.

Medicare Billing Reassignment

Medicare enrollment records show Emma Makoba reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1621 S JACKSON ST, SUITE 201
Seattle, WA 98144
  • Reassigned Medicare billing, Washington enrollment
  • 66 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Pharmacist
747 BROADWAY, ATTN: INPATIENT PHARMACY
SEATTLE, WA 98122
Internal Medicine
747 BROADWAY
SEATTLE, WA 98122
Hospitalist
747 BROADWAY
SEATTLE, WA 98122
Hospitalist
747 BROADWAY
SEATTLE, WA 98122
Internal Medicine
747 BROADWAY
SEATTLE, WA 98122
Pharmacy Technician
747 BROADWAY
SEATTLE, WA 98122
Radiology (Vascular & Interventional Radiology)
747 BROADWAY, HEATH BUILDING 10TH FLOOR
SEATTLE, WA 98122
Pharmacist
747 BROADWAY
SEATTLE, WA 98122

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 Emma Makoba's NPI number?

The NPI number for Emma Makoba is 1164041323. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is Emma Makoba located?

Emma Makoba practices at 747 Broadway, Seattle, WA 98122. The listed phone number is (206) 320-2000.

What is Emma Makoba's specialty?

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

Is Emma Makoba enrolled in Medicare?

Yes. Emma Makoba is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Emma Makoba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emma Makoba reassigns Medicare benefits to Seattle Roots Community Health (Seattle, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emma Makoba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emma Makoba accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Emma Makoba 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 Emma Makoba was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.