1. Home
  2. Directory
  3. Illinois
  4. O Fallon
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

EYASU ADUNA
NPI 1548062532
Student in an Organized Health Care Education/Training Program in O Fallon, IL

Active since March 27, 2025PECOS Enrolled
3 SAINT ELIZABETH BLVD STE 4000, O FALLON, IL 62269(618) 233-5480(844) 458-7916 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eyasu Aduna NPPES

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

EYASU ADUNA (NPI 1548062532) is an individual student in an organized health care education/training program in O Fallon, Illinois and active in the NPI registry since March 2025. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548062532
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameEYASU ADUNA
Location Address3 SAINT ELIZABETH BLVD STE 4000O Fallon, IL 62269-1284
Mailing Address3 Saint Elizabeth Blvd Ste 4000O Fallon, IL 62269-1284 · (618) 233-5480 · Fax (844) 458-7916
Phone(618) 233-5480
Fax(844) 458-7916
Sole ProprietorNo
Enumeration DateMarch 27, 2025
NPPES CertifiedMarch 27, 2025
✔ NPI 1548062532 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.

3 SAINT ELIZABETH BLVD STE 4000, O Fallon, IL 62269
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eyasu Aduna 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.

DR. MECHELLE E ELOSIEBO M.D.
Family Medicine
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 233-5480
BENJAMIN ANTHONY NICOTERA MD
Student in an Organized Health Care Education/Training Program
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 233-5480
DR. NOAH M COOPERSTEIN MD
Family Medicine
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 256-7311
DR. VINAY KUMAR BHOOMA M.D.
Family Medicine
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 233-5480
DR. BENJAMIN CARL BEGGS MD
Family Medicine
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 233-5480
DR. MARJORIE H. GUTHRIE M.D.
Family Medicine
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 233-5480
DR. ANNE NICOLE NASH M.D.
Family Medicine
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 233-5480
MARLA NELSON
Counselor (Professional)
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269
St. Clair County (618) 233-5480

Frequently Asked Questions

What is Eyasu Aduna's NPI number?

The NPI number assigned to this healthcare provider is 1548062532, enumerated as an "individual" on March 27, 2025.

Where is the provider located?

The provider is located at 3 SAINT ELIZABETH BLVD STE 4000 O FALLON, IL 62269 and the phone number is (618) 233-5480.

What is the provider's specialty?

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