ZULFAU AGWEDICHAM MD
NPI 1497217087
Student in an Organized Health Care Education/Training Program in Worcester, MA

Q: What is Zulfau Agwedicham's NPI number?

The NPI number for Zulfau Agwedicham is 1497217087. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Q: What is Zulfau Agwedicham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Zulfau Agwedicham was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 02, 2019PECOS Enrolled

55 LAKE AVE N, WORCESTER, MA 01655(774) 442-5615 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2023, Apr 2, 2019 (2 updates tracked since 2019).

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About Zulfau Agwedicham Md NPPES

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

ZULFAU AGWEDICHAM MD (NPI 1497217087) is an individual student in an organized health care education/training program in Worcester, Massachusetts and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Newark, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497217087

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameZULFAU AGWEDICHAMCredential: MD

Location Address55 LAKE AVE NWorcester, MA 01655-0002

Mailing Address139 Ward StOrange, NJ 07050-4039 · (973) 641-3290

Phone(774) 442-5615

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateApril 2, 2019

Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration

NPPES CertifiedMarch 28, 2023

✔ NPI 1497217087 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.

55 LAKE AVE N, Worcester, MA 01655

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Secondary Practice Location 1

Location 175 Oakland TerNewark, NJ 07106-2306 · Phone (973) 641-3290 · Fax (804) 595-1456

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zulfau Agwedicham Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739659715

PECOS Enrollment IDI20260601000567

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.

HILLARY R. IRONS MD

Emergency Medicine

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 421-1400

MS. EILEEN A. DUHAMEL NP

Nurse Practitioner

55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-2710

EWA HRYNISZYN CRNA

Nurse Anesthetist, Certified Registered

55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-3271

HELEN COPSEY PA-C

Physician Assistant

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 334-8585

DR. ADEPEJU GBADEBO CHAMPION M.D.

Internal Medicine

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 334-2731

SOWMYA KORAPATI

Internal Medicine (Hematology & Oncology)

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 334-3550

LAYLA FAKHRZADEH M.D.

Anesthesiology

55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-3271

YOONYIE CHO M.D.

Anesthesiology

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 334-1000

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 Zulfau Agwedicham's NPI number?

The NPI number for Zulfau Agwedicham is 1497217087. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Zulfau Agwedicham located?

Zulfau Agwedicham practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (774) 442-5615.

What is Zulfau Agwedicham's specialty?

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

Is Zulfau Agwedicham enrolled in Medicare?

Yes. Zulfau Agwedicham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Zulfau Agwedicham was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.