DOLAPO SEWEDOMO AVUNGBETO MB;BS
NPI 1720583701
Student in an Organized Health Care Education/Training Program in Providence, RI

Q: What is Dolapo Avungbeto's NPI number?

The NPI number for Dolapo Avungbeto is 1720583701. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Q: What is Dolapo Avungbeto'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 Dolapo Avungbeto was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 29, 2018PECOS Enrolled

101 DUDLEY ST DEPT OF, PROVIDENCE, RI 02905(401) 274-1122 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 20, 2021, Mar 4, 2021, Mar 29, 2018 (3 updates tracked since 2018).

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About Dolapo Sewedomo Avungbeto Mb;bs NPPES

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

DOLAPO SEWEDOMO AVUNGBETO MB;BS (NPI 1720583701) is an individual student in an organized health care education/training program in Providence, Rhode Island and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720583701

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDOLAPO SEWEDOMO AVUNGBETOCredential: MB;BS

Location Address101 DUDLEY ST DEPT OFProvidence, RI 02905-2499

Mailing Address101 Dudley Street, Pediatrics Department (neonatology)Providence, RI 02905 · (401) 274-1122

Phone(401) 274-1122

Sole ProprietorNo

Enumeration DateMarch 29, 2018

Last NPPES UpdateJuly 20, 20213 updates tracked since enumeration

NPPES CertifiedJuly 20, 2021

✔ NPI 1720583701 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.

101 DUDLEY ST DEPT OF, Providence, RI 02905

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dolapo Sewedomo Avungbeto Mb;bs 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.

Medicare Billing Reassignment

Medicare enrollment records show Dolapo Avungbeto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Childrens Health Care Associates, Inc

236 mi

Neurology

3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
Philadelphia, PA 19104

Reassigned Medicare billing, Pennsylvania enrollment
1,225 clinicians in this Medicare group

NPI 1033204086 (215) 590-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

LYNN ELLEN PRZYSTAC RDN, LDN

Dietitian, Registered

101 DUDLEY ST DEPT OF
PROVIDENCE, RI 02905

Providence County (401) 274-1122

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 Dolapo Avungbeto's NPI number?

The NPI number for Dolapo Avungbeto is 1720583701. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Where is Dolapo Avungbeto located?

Dolapo Avungbeto practices at 101 Dudley St Dept Of, Providence, RI 02905. The listed phone number is (401) 274-1122.

What is Dolapo Avungbeto's specialty?

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

Is Dolapo Avungbeto enrolled in Medicare?

Yes. Dolapo Avungbeto is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dolapo Avungbeto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dolapo Avungbeto reassigns Medicare benefits to Childrens Health Care Associates, Inc (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dolapo Avungbeto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dolapo Avungbeto was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.