EKA MATSUMOTO
NPI 1710774302
Student in an Organized Health Care Education/Training Program in Roanoke, VA

Active since April 24, 2025PECOS Enrolled
4348 ELECTRIC RD, ROANOKE, VA 24018(540) 776-0213 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eka Matsumoto NPPES

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

EKA MATSUMOTO (NPI 1710774302) is an individual student in an organized health care education/training program in Roanoke, Virginia and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710774302
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEKA MATSUMOTO
Location Address4348 ELECTRIC RDRoanoke, VA 24018-0720
Mailing Address3345 Circle Brook DrRoanoke, VA 24018-9445 · (540) 240-7037
Sole ProprietorNo
Enumeration DateApril 24, 2025
NPPES CertifiedApril 24, 2025
NPI 1710774302 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.
4348 ELECTRIC RD, Roanoke, VA 24018

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Eka Matsumoto 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.

Pediatrics
4348 ELECTRIC RD
ROANOKE, VA 24018
Pediatrics (Pediatric Pulmonology)
4348 ELECTRIC RD
ROANOKE, VA 24018
Pediatrics
4348 ELECTRIC RD
ROANOKE, VA 24018
Dietitian, Registered
4348 ELECTRIC RD
ROANOKE, VA 24018
Student in an Organized Health Care Education/Training Program
4348 ELECTRIC RD
ROANOKE, VA 24018
Pediatrics
4348 ELECTRIC RD
ROANOKE, VA 24018
Pediatrics
4348 ELECTRIC RD
ROANOKE, VA 24018
Dentist (Pediatric Dentistry)
4348 ELECTRIC RD
ROANOKE, VA 24018

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 Eka Matsumoto's NPI number?

The NPI number for Eka Matsumoto is 1710774302. It was assigned to this individual provider in the NPPES registry on April 24, 2025.

Where is Eka Matsumoto located?

Eka Matsumoto practices at 4348 Electric Rd, Roanoke, VA 24018. The listed phone number is (540) 776-0213.

What is Eka Matsumoto's specialty?

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

Is Eka Matsumoto enrolled in Medicare?

Yes. Eka Matsumoto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eka Matsumoto was last updated on April 24, 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.