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MAM G DENG MADOUT MD
NPI 1225788524
Student in an Organized Health Care Education/Training Program in Worcester, MA

Active since March 28, 2022PECOS Enrolled
279 LINCOLN ST, WORCESTER, MA 01605(508) 334-8830 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mam G Deng Madout Md NPPES

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

MAM G DENG MADOUT MD (NPI 1225788524) is an individual student in an organized health care education/training program in Worcester, Massachusetts and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225788524
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMAM G DENG MADOUTCredential: MD
Location Address279 LINCOLN STWorcester, MA 01605-2120
Mailing Address279 Lincoln StWorcester, MA 01605-2120 · (508) 334-8830
Phone(508) 334-8830
Sole ProprietorNo
Enumeration DateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1225788524 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.
279 LINCOLN ST, Worcester, MA 01605
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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)

Mam G Deng Madout 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.

DANIELLE NICOLE CODERRE
Student in an Organized Health Care Education/Training Program
279 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1000
DANIEL J. KIRSCH M.D.
Psychiatry & Neurology (Psychiatry)
279 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-2537
LEIGH WEATHERLY DO
Student in an Organized Health Care Education/Training Program
279 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1000
OPEOLUWA OLUWAFUNMILAYO OLUKOREDE MD
Student in an Organized Health Care Education/Training Program
279 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1000
SABRINA ELIZABETH GEMME AU.D.
Audiologist
279 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-8830
CHRISTOPHER WOO M.D.
Family Medicine
279 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1000
ABIRAMI RAVEENDRAN M.D.
Student in an Organized Health Care Education/Training Program
279 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1000
DR. RONALD N ADLER M.D.
Family Medicine
279 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-8830

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 Mam Deng Madout's NPI number?

The NPI number for Mam Deng Madout is 1225788524. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Mam Deng Madout located?

Mam Deng Madout practices at 279 Lincoln St, Worcester, MA 01605. The listed phone number is (508) 334-8830.

What is Mam Deng Madout's specialty?

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

Is Mam Deng Madout enrolled in Medicare?

Yes. Mam Deng Madout is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mam Deng Madout was last updated on March 28, 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.