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CHINEDU MICHAEL MIKE-ENEH M.B.B.S
NPI 1174327910
Student in an Organized Health Care Education/Training Program in Pine Bluff, AR

Active since April 02, 2025PECOS Enrolled
1601 W 40TH AVE, PINE BLUFF, AR 71603(870) 541-6010(870) 541-6009 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Chinedu Michael Mike-eneh M.b.b.s NPPES

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

CHINEDU MICHAEL MIKE-ENEH M.B.B.S (NPI 1174327910) is an individual student in an organized health care education/training program in Pine Bluff, Arkansas and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174327910
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHINEDU MICHAEL MIKE-ENEHCredential: M.B.B.S
Location Address1601 W 40TH AVEPine Bluff, AR 71603-6069
Mailing Address1601 W 40th AvePine Bluff, AR 71603-6069 · (870) 541-6010 · Fax (870) 541-6009
Phone(870) 541-6010
Fax(870) 541-6009
Sole ProprietorYes
Enumeration DateApril 2, 2025
Last NPPES UpdateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
✔ NPI 1174327910 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.

1601 W 40TH AVE, Pine Bluff, AR 71603
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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)

Chinedu Michael Mike-eneh 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.

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.

DR. TERRY LIEFDE MD
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-6000
PAVANA NAGA GOPI KRISHNA TIRUMANISETTI MD
Family Medicine
1601 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-6000
JEFFERSON HEART, P.A.
Specialist
1601 W 40TH AVE, SUITE 301
PINE BLUFF, AR 71603
Jefferson County (870) 541-4285
LIDIA TESHOME DEGEFA MD
Internal Medicine
1601 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
HIRA EJAZ SHAH M D
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
DR. AYMAN ALSHAMI MD
Specialist
1601 W 40TH AVE, SUITE 301
PINE BLUFF, AR 71603
Jefferson County (870) 541-4285
MEFTHE FIKRU BERHANU MD
Family Medicine
1601 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
DR. ROBERTO AGUSTIN MIRANDA RIVAS MD
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010

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 Chinedu Mike-eneh's NPI number?

The NPI number for Chinedu Mike-eneh is 1174327910. It was assigned to this individual provider in the NPPES registry on April 2, 2025.

Where is Chinedu Mike-eneh located?

Chinedu Mike-eneh practices at 1601 W 40th Ave, Pine Bluff, AR 71603. The listed phone number is (870) 541-6010.

What is Chinedu Mike-eneh's specialty?

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

Is Chinedu Mike-eneh enrolled in Medicare?

Yes. Chinedu Mike-eneh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chinedu Mike-eneh was last updated on July 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.