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EBUWA IGHODARO MD
NPI 1730931874
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Active since April 02, 2024PECOS Enrolled
1400 8TH AVE, FORT WORTH, TX 76104(817) 252-9309 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ebuwa Ighodaro Md NPPES

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

EBUWA IGHODARO MD (NPI 1730931874) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730931874
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEBUWA IGHODAROCredential: MD
Location Address1400 8TH AVEFort Worth, TX 76104-4110
Mailing Address1400 8th AveFort Worth, TX 76104-4110
Phone(817) 252-9309
Sole ProprietorNo
Enumeration DateApril 2, 2024
NPPES CertifiedApril 2, 2024
✔ NPI 1730931874 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.
1400 8TH AVE, Fort Worth, TX 76104
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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)

Ebuwa Ighodaro 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.

JOEY MAYOR MD
Emergency Medicine
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (214) 712-2074
MARY AGNES JOHNSON NP
Nurse Practitioner
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-7070
JEFF DURBIN
Registered Nurse (Registered Nurse First Assistant)
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 926-2544
AUSTIN FORD BENTON PA-C
Physician Assistant
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 926-2544
ANNELISE KUTZLER
Obstetrics & Gynecology
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-4534
ESHA SINGHAL MD
Student in an Organized Health Care Education/Training Program
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-4534
SARAH ELIZABETH ANDRADE DO
Student in an Organized Health Care Education/Training Program
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-4535
DR. LUCAS CADE COLSON PHARM. D.
Pharmacist (Pharmacotherapy)
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-2074

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 Ebuwa Ighodaro's NPI number?

The NPI number for Ebuwa Ighodaro is 1730931874. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Where is Ebuwa Ighodaro located?

Ebuwa Ighodaro practices at 1400 8th Ave, Fort Worth, TX 76104. The listed phone number is (817) 252-9309.

What is Ebuwa Ighodaro's specialty?

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

Is Ebuwa Ighodaro enrolled in Medicare?

Yes. Ebuwa Ighodaro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ebuwa Ighodaro was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.