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DR. EWOMAMOBUHO ETO
NPI 1679362701
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since May 05, 2025PECOS Enrolled
1500 E. MEDICAL CENTER DRIVE TC-B1-380, ANN ARBOR, MI 48109(734) 763-7919 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ewomamobuho Eto NPPES

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

DR. EWOMAMOBUHO ETO (NPI 1679362701) is an individual student in an organized health care education/training program in Ann Arbor, Michigan and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679362701
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. EWOMAMOBUHO ETO
Location Address1500 E. MEDICAL CENTER DRIVE TC-B1-380Ann Arbor, MI 48109-5305
Mailing Address1500 E. Medical Center Drive Tc-b1-380Ann Arbor, MI 48109-5305
Phone(734) 763-7919
Sole ProprietorNo
Enumeration DateMay 5, 2025
NPPES CertifiedMay 5, 2025
✔ NPI 1679362701 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.
1500 E. MEDICAL CENTER DRIVE TC-B1-380, Ann Arbor, MI 48109
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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)

Dr. Ewomamobuho Eto 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

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

ARMAAN DHILLON MD
Emergency Medicine
1500 E. MEDICAL CENTER DRIVE TC-B1-380
ANN ARBOR, MI 48109
Washtenaw County (734) 936-6666

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 Ewomamobuho Eto's NPI number?

The NPI number for Ewomamobuho Eto is 1679362701. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Where is Ewomamobuho Eto located?

Ewomamobuho Eto practices at 1500 E. Medical Center Drive Tc-B1-380, Ann Arbor, MI 48109. The listed phone number is (734) 763-7919.

What is Ewomamobuho Eto's specialty?

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

Is Ewomamobuho Eto enrolled in Medicare?

Yes. Ewomamobuho Eto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ewomamobuho Eto was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.