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ENSAR AVDIC
NPI 1720839186
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since April 01, 2024PECOS Enrolled
930 MADISON AVE, MEMPHIS, TN 38103(901) 448-6344 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 23, 2026, Apr 1, 2024 (2 updates tracked since 2024).

About Ensar Avdic NPPES

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

ENSAR AVDIC (NPI 1720839186) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720839186
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameENSAR AVDIC
Location Address930 MADISON AVEMemphis, TN 38103-3410
Mailing Address920 Madison Ave Ste 447Memphis, TN 38103-3438 · (901) 448-6344 · Fax (901) 448-6979
Phone(901) 448-6344
Sole ProprietorNo
Enumeration DateApril 1, 2024
Last NPPES UpdateApril 23, 20262 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1720839186 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.
930 MADISON AVE, Memphis, TN 38103
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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)

Ensar Avdic 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 12

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

DR. ANDRZEJ T SLOMINSKI M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
930 MADISON AVE, SUITE 500
MEMPHIS, TN 38103
Shelby County (901) 725-7551
ALIYAH HANKS
Student in an Organized Health Care Education/Training Program
930 MADISON AVE
MEMPHIS, TN 38103
Shelby County (901) 448-8393
M. BARRY RANDALL M.D.
Pathology (Dermatopathology)
930 MADISON AVE, SUITE 890
MEMPHIS, TN 38103
Shelby County (901) 866-8834
WARREN THURMAN
Student in an Organized Health Care Education/Training Program
930 MADISON AVE
MEMPHIS, TN 38103
Shelby County (901) 448-6650
TANEESHA MASCHELLE MCGOWAN
Occupational Therapist
930 MADISON AVE
MEMPHIS, TN 38103
Shelby County (901) 900-1601
LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
930 MADISON AVE, 5TH FLOOR
MEMPHIS, TN 38103
Shelby County (901) 448-6379
MARY E HOEHN MD
Ophthalmology
930 MADISON AVE, SUITE 200
MEMPHIS, TN 38103
Shelby County (901) 448-6650
DR. JOHN STANSILL COVINGTON III DDS
Dentist (General Practice)
930 MADISON AVE, SUITE 600
MEMPHIS, TN 38103
Shelby County (901) 448-8609

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 Ensar Avdic's NPI number?

The NPI number for Ensar Avdic is 1720839186. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Ensar Avdic located?

Ensar Avdic practices at 930 Madison Ave, Memphis, TN 38103. The listed phone number is (901) 448-6344.

What is Ensar Avdic's specialty?

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

Is Ensar Avdic enrolled in Medicare?

Yes. Ensar Avdic is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ensar Avdic was last updated on April 23, 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.