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MAIKEL EZZAT GO TAWADROUS M.D.
NPI 1467255893
Student in an Organized Health Care Education/Training Program in Independence, MO

Active since March 31, 2025PECOS Enrolled
19550 E 39TH ST, #335, INDEPENDENCE, MO 64057(913) 396-3807 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maikel Ezzat Go Tawadrous M.d. NPPES

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

MAIKEL EZZAT GO TAWADROUS M.D. (NPI 1467255893) is an individual student in an organized health care education/training program in Independence, Missouri and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467255893
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMAIKEL EZZAT GO TAWADROUSCredential: M.D.
Location Address19550 E 39TH ST, #335Independence, MO 64057
Mailing Address19550 E 39th St, #335Independence, MO 64057 · (913) 396-3807
Phone(913) 396-3807
Sole ProprietorNo
Enumeration DateMarch 31, 2025
Last NPPES UpdateAugust 25, 2025
✔ NPI 1467255893 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.
19550 E 39TH ST, Independence, MO 64057
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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)

Maikel Ezzat Go Tawadrous 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 Maikel Tawadrous's NPI number?

The NPI number for Maikel Tawadrous is 1467255893. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Maikel Tawadrous located?

Maikel Tawadrous practices at 19550 E 39th St #335, Independence, MO 64057. The listed phone number is (913) 396-3807.

What is Maikel Tawadrous's specialty?

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

Is Maikel Tawadrous enrolled in Medicare?

Yes. Maikel Tawadrous is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maikel Tawadrous was last updated on August 25, 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.