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MS. ADESUWA TRACY EGHAREVBA M.D.
NPI 1306192836
Student in an Organized Health Care Education/Training Program in Raleigh, NC

Active since August 02, 2012PECOS Enrolled
4312 DISTRICT DR, RALEIGH, NC 27699(919) 743-9000 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Jun 27, 2017 (2 updates tracked since 2017).

About Ms. Adesuwa Tracy Egharevba M.d. NPPES

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

MS. ADESUWA TRACY EGHAREVBA M.D. (NPI 1306192836) is an individual student in an organized health care education/training program in Raleigh, North Carolina and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306192836
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. ADESUWA TRACY EGHAREVBACredential: M.D.
Location Address4312 DISTRICT DRRaleigh, NC 27699-7708
Mailing Address390 17th St Nw, Unit 5008Atlanta, GA 30363
Phone(919) 743-9000
Sole ProprietorNo
Enumeration DateAugust 2, 2012
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1306192836 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.
4312 DISTRICT DR, Raleigh, NC 27699
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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)

Ms. Adesuwa Tracy Egharevba M.d. 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.

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 Adesuwa Egharevba's NPI number?

The NPI number for Adesuwa Egharevba is 1306192836. It was assigned to this individual provider in the NPPES registry on August 2, 2012.

Where is Adesuwa Egharevba located?

Adesuwa Egharevba practices at 4312 District Dr, Raleigh, NC 27699. The listed phone number is (919) 743-9000.

What is Adesuwa Egharevba's specialty?

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

Is Adesuwa Egharevba enrolled in Medicare?

Yes. Adesuwa Egharevba is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adesuwa Egharevba was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.