PETER MABULA NDARO DO
NPI 1588424147
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Q: What is Peter Ndaro's NPI number?

The NPI number for Peter Ndaro is 1588424147. It was assigned to this individual provider in the NPPES registry on March 20, 2024.

Q: What is Peter Ndaro'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 Peter Ndaro was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since March 20, 2024PECOS Enrolled

1920 W 1ST ST FL 3, WINSTON SALEM, NC 27104(336) 716-4479 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 25, 2024, Jul 24, 2024 (2 updates tracked since 2024).

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About Peter Mabula Ndaro Do NPPES

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

PETER MABULA NDARO DO (NPI 1588424147) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588424147

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NamePETER MABULA NDAROCredential: DO

Location Address1920 W 1ST ST FL 3Winston Salem, NC 27104-4220

Mailing Address1920 W 1st St Fl 3Winston Salem, NC 27104-4220

Phone(336) 716-4479

Sole ProprietorNo

Enumeration DateMarch 20, 2024

Last NPPES UpdateSeptember 25, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2024

✔ NPI 1588424147 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.

1920 W 1ST ST FL 3, Winston Salem, NC 27104

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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)

Peter Mabula Ndaro Do 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.

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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RYAN PHILLIP MACDONALD

Student in an Organized Health Care Education/Training Program