REBECCA IFEOMA EKEANYANWU MD
NPI 1700728334
Student in an Organized Health Care Education/Training Program in Worcester, MA

Active since April 06, 2026PECOS Enrolled
55 LAKE AVE N, WORCESTER, MA 01655(508) 334-1000 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rebecca Ifeoma Ekeanyanwu Md NPPES

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

REBECCA IFEOMA EKEANYANWU MD (NPI 1700728334) is an individual student in an organized health care education/training program in Worcester, Massachusetts and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700728334
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameREBECCA IFEOMA EKEANYANWUCredential: MD
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing Address55 Lake Ave NWorcester, MA 01655-0002 · (508) 334-1000
Sole ProprietorNo
Enumeration DateApril 6, 2026
NPPES CertifiedApril 6, 2026
NPI 1700728334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Other Names 1

Other Name (5)Mrs. Rebecca Ifeoma Adebola Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Rebecca Ifeoma Ekeanyanwu Md 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.

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655

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 Rebecca Ekeanyanwu's NPI number?

The NPI number for Rebecca Ekeanyanwu is 1700728334. It was assigned to this individual provider in the NPPES registry on April 6, 2026. The provider is also known as Mrs. Rebecca Ifeoma Adebola MD.

Where is Rebecca Ekeanyanwu located?

Rebecca Ekeanyanwu practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-1000.

What is Rebecca Ekeanyanwu's specialty?

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

Is Rebecca Ekeanyanwu enrolled in Medicare?

Yes. Rebecca Ekeanyanwu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rebecca Ekeanyanwu was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.