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EDNA BOLA FONGOD M.D.
NPI 1316683675
Student in an Organized Health Care Education/Training Program in Pittsburgh, PA

Active since May 10, 2022PECOS Enrolled
1400 LOCUST STREET GENERAL SURGERY RESIDENCY ATTN: DANI, SUITE 6511, PITTSBURGH, PA 15219(412) 232-5528 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edna Bola Fongod M.d. NPPES

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

EDNA BOLA FONGOD M.D. (NPI 1316683675) is an individual student in an organized health care education/training program in Pittsburgh, Pennsylvania and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316683675
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEDNA BOLA FONGODCredential: M.D.
Location Address1400 LOCUST STREET GENERAL SURGERY RESIDENCY ATTN: DANI, SUITE 6511Pittsburgh, PA 15219
Mailing Address3600 Forbes Avenue, Suite 140Pittsburgh, PA 15213
Phone(412) 232-5528
Sole ProprietorNo
Enumeration DateMay 10, 2022
NPPES CertifiedMay 10, 2022
✔ NPI 1316683675 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.
1400 LOCUST STREET GENERAL SURGERY RESIDENCY ATTN: DANI, Pittsburgh, PA 15219
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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)

Edna Bola Fongod 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 Edna Fongod's NPI number?

The NPI number for Edna Fongod is 1316683675. It was assigned to this individual provider in the NPPES registry on May 10, 2022.

Where is Edna Fongod located?

Edna Fongod practices at 1400 Locust Street General Surgery Residency Attn: Dani Suite 6511, Pittsburgh, PA 15219. The listed phone number is (412) 232-5528.

What is Edna Fongod's specialty?

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

Is Edna Fongod enrolled in Medicare?

Yes. Edna Fongod is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edna Fongod was last updated on May 10, 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.