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: September 06, 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 CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Esinam Aku Amedewonu 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.

Anesthesiology (Critical Care Medicine)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Surgery (Surgical Critical Care)
3400 SPRUCE STREET, 2 DULLES
PHILADELPHIA, PA 19104
Obstetrics & Gynecology
3400 SPRUCE STREET, 5 PENN TOWER
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE STREET, GROUND FLOOR DULLES
PHILADELPHIA, PA 19104
Obstetrics & Gynecology
3400 SPRUCE STREET, 1 WEST GATES
PHILADELPHIA, PA 19104
Emergency Medicine
3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Neurology)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104

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 Esinam Amedewonu's NPI number?

The NPI number for Esinam Amedewonu is 1417741752. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Where is Esinam Amedewonu located?

Esinam Amedewonu practices at 3400 Spruce Street, Philadelphia, PA 19104. The listed phone number is (267) 438-8544.

What is Esinam Amedewonu's specialty?

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

Is Esinam Amedewonu enrolled in Medicare?

Yes. Esinam Amedewonu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Esinam Amedewonu was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.