1. Home
  2. Directory
  3. Virginia
  4. Richmond
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JEREMY WODAREK
NPI 1174133573
Student in an Organized Health Care Education/Training Program in Richmond, VA

Active since July 31, 2020PECOS Enrolled
1001 E LEIGH ST, RICHMOND, VA 23298(804) 828-2676 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 22, 2026, Jun 27, 2021, Sep 7, 2020 and 1 more (4 updates tracked since 2020).

About Jeremy Wodarek NPPES

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

JEREMY WODAREK (NPI 1174133573) is an individual student in an organized health care education/training program in Richmond, Virginia, licensed in Virginia (0116041752) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174133573
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEREMY WODAREK
Location Address1001 E LEIGH STRichmond, VA 23298-5004
Mailing AddressPo Box 980257Richmond, VA 23298-0257 · (804) 828-9783
Phone(804) 828-2676
Sole ProprietorYes
Enumeration DateJuly 31, 2020
Last NPPES UpdateSeptember 22, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1174133573 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
License✔ Licensed in VA · 0116041752
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.
1001 E LEIGH ST, Richmond, VA 23298
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1401 S Ballenger HwyFlint, MI 48532-3638 · Phone (810) 342-2111
Location 21632 Stone StSaginaw, MI 48602 · Phone (989) 583-6595

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeremy Wodarek 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.

ZACHARY KIERNAN MD
Surgery
1001 E LEIGH ST
RICHMOND, VA 23298
Richmond City (804) 628-2372
DR. SUHA SULIMAN MD
Obstetrics & Gynecology
1001 E LEIGH ST
RICHMOND, VA 23298
Richmond City (804) 828-4409
MICHAEL MARTIN
Internal Medicine (Rheumatology)
1001 E LEIGH ST
RICHMOND, VA 23298
Richmond City (804) 828-2161
DR. LUIS ALFONSO GONZALEZ MIRANDA MD, MPH
Urology
1001 E LEIGH ST
RICHMOND, VA 23298
Richmond City (804) 828-9331
GABRIELLA ELENA KAYAL
Psychiatry & Neurology (Neurology)
1001 E LEIGH ST
RICHMOND, VA 23298
Richmond City (804) 828-2515
DR. SCOTT P STRINGER
Otolaryngology
1001 E LEIGH ST
RICHMOND, VA 23298
Richmond City (804) 628-4368
DR. SARAH WRIGHT GILLS AU.D.
Audiologist
1001 E LEIGH ST
RICHMOND, VA 23298
Richmond City (804) 828-0431
ENKHBILEG DENDEV MD
Obstetrics & Gynecology
1001 E LEIGH ST
RICHMOND, VA 23298
Richmond City (804) 828-4409

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 Jeremy Wodarek's NPI number?

The NPI number for Jeremy Wodarek is 1174133573. It was assigned to this individual provider in the NPPES registry on July 31, 2020.

Where is Jeremy Wodarek located?

Jeremy Wodarek practices at 1001 E Leigh St, Richmond, VA 23298. The listed phone number is (804) 828-2676.

What is Jeremy Wodarek's specialty?

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

Is Jeremy Wodarek enrolled in Medicare?

Yes. Jeremy Wodarek is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeremy Wodarek was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.