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KINGSLEY CHIEMEZIE MAKATA M.D.
NPI 1881481943
Student in an Organized Health Care Education/Training Program in St. Louis, MO

Active since April 22, 2025PECOS Enrolled
1465 SOUTH GRAND BOULEVARD, 2ND FLOOR GLENNON HALL, ROOM 2717, ST. LOUIS, MO 63104(314) 577-5634(314) 577-5616 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kingsley Chiemezie Makata M.d. NPPES

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

KINGSLEY CHIEMEZIE MAKATA M.D. (NPI 1881481943) is an individual student in an organized health care education/training program in St. Louis, Missouri and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881481943
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKINGSLEY CHIEMEZIE MAKATACredential: M.D.
Location Address1465 SOUTH GRAND BOULEVARD, 2ND FLOOR GLENNON HALL, ROOM 2717St. Louis, MO 63104-1003
Mailing Address1465 South Grand Boulevard, 2nd Floor Glennon Hall, Room 2717St. Louis, MO 63104-1003 · (314) 577-5634 · Fax (314) 577-5616
Phone(314) 577-5634
Fax(314) 577-5616
Sole ProprietorNo
Enumeration DateApril 22, 2025
Last NPPES UpdateNovember 13, 2025
NPPES CertifiedNovember 13, 2025
✔ NPI 1881481943 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.
1465 SOUTH GRAND BOULEVARD, St. Louis, MO 63104
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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)

Kingsley Chiemezie Makata M.d. 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 5

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

AALIF ZAHEER M.D.
Student in an Organized Health Care Education/Training Program
1465 SOUTH GRAND BOULEVARD, 2ND FLOOR GLENNON HALL, ROOM 2717
ST LOUIS, MO 63104
St. Louis City (314) 577-5634
RHEA NARESH CHANDWANI M.B., B.S.
Student in an Organized Health Care Education/Training Program
1465 SOUTH GRAND BOULEVARD, 2ND FLOOR GLENNON HALL, ROOM 2717
ST LOUIS, MO 63104
St. Louis City (314) 577-5634
SHIV ARORA M.B.,B.S.
Student in an Organized Health Care Education/Training Program
1465 SOUTH GRAND BOULEVARD, 2ND FLOOR GLENNON HALL, ROOM 2717
ST. LOUIS, MO 63104
St. Louis City (314) 577-5634
NISHI VINESH KANSARA
Student in an Organized Health Care Education/Training Program
1465 SOUTH GRAND BOULEVARD, 2ND FLOOR GLENNON HALL, ROOM 2717
ST LOUIS, MO 63104
St. Louis City (314) 577-5634
MICHELLE MARIE DUPONT CPNP
Nurse Practitioner (Pediatrics)
1465 SOUTH GRAND BOULEVARD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5600

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 Kingsley Makata's NPI number?

The NPI number for Kingsley Makata is 1881481943. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Where is Kingsley Makata located?

Kingsley Makata practices at 1465 South Grand Boulevard 2nd Floor Glennon Hall, Room 2717, St. Louis, MO 63104. The listed phone number is (314) 577-5634.

What is Kingsley Makata's specialty?

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

Is Kingsley Makata enrolled in Medicare?

Yes. Kingsley Makata is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kingsley Makata was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.