MS. ESINAM AKU AMEDEWONU MD
NPI 1417741752
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 09, 2025PECOS Enrolled
3400 SPRUCE STREET, PHILADELPHIA, PA 19104(267) 438-8544 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 19, 2025, Apr 9, 2025 (2 updates tracked since 2025).

About Ms. Esinam Aku Amedewonu Md NPPES

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

MS. ESINAM AKU AMEDEWONU MD (NPI 1417741752) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417741752
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. ESINAM AKU AMEDEWONUCredential: MD
Location Address3400 SPRUCE STREETPhiladelphia, PA 19104
Mailing Address3400 Spruce StreetPhiladelphia, PA 19104 · (233) 208-1747
Sole ProprietorNo
Enumeration DateApril 9, 2025
Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
NPI 1417741752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

3400 SPRUCE STREET, Philadelphia, PA 19104

Medicare Participation & PECOS Enrollment Status

Esinam Amedewonu is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
3400 SPRUCE STREET, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Nurse Practitioner (Acute Care)
3400 SPRUCE STREET, 6 SILVERSTEIN
PHILADELPHIA, PA 19104
Physical Medicine & Rehabilitation
3400 SPRUCE STREET, 1 GROUND WHITE BUILDING
PHILADELPHIA, PA 19104
Nuclear Medicine
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Internal Medicine
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Urology
3400 SPRUCE STREET, 9 PENN TOWER
PHILADELPHIA, PA 19104
Emergency Medicine
3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG
PHILADELPHIA, PA 19104
Surgery
3400 SPRUCE STREET, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Physical Medicine & Rehabilitation
3400 SPRUCE STREET, 1 GROUND WHITE BLDG
PHILADELPHIA, PA 19104
Obstetrics & Gynecology
3400 SPRUCE STREET, 1 WEST GATES
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE STREET, 4 DULLES BUILDING
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE STREET, 4 DULLES
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE STREET, 4 DULLES BUILDING
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE STREET, 4 DULLES BUILDING
PHILADELPHIA, PA 19104
Internal Medicine (Hematology)
3400 SPRUCE STREET, 15 PENN TOWER
PHILADELPHIA, PA 19104
Internal Medicine (Medical Oncology)
3400 SPRUCE STREET, 12 PENN TOWER
PHILADELPHIA, PA 19104
Internal Medicine (Medical Oncology)
3400 SPRUCE STREET, 15 PENN TOWER
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE STREET, 4 DULLES BUILDING
PHILADELPHIA, PA 19104
Internal Medicine (Hematology)
3400 SPRUCE STREET, 15 PENN TOWER
PHILADELPHIA, PA 19104
Internal Medicine (Medical Oncology)
3400 SPRUCE STREET, 15 PENN TOWER
PHILADELPHIA, PA 19104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417741752, enumerated as an "individual" on April 09, 2025.

The provider is located at 3400 SPRUCE STREET PHILADELPHIA, PA 19104 and the phone number is (267) 438-8544.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.