SAMUELBHAI SUNILBHAI MACWAN
NPI 1922995059
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Q: What is Samuelbhai Macwan's NPI number?

The NPI number for Samuelbhai Macwan is 1922995059. It was assigned to this individual provider in the NPPES registry on June 20, 2025.

Q: What is Samuelbhai Macwan'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 Samuelbhai Macwan was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 20, 2025PECOS Enrolled

1441 N 12TH ST, PHOENIX, AZ 85006(602) 521-5977 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Samuelbhai Sunilbhai Macwan NPPES

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

SAMUELBHAI SUNILBHAI MACWAN (NPI 1922995059) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922995059

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSAMUELBHAI SUNILBHAI MACWAN

Location Address1441 N 12TH STPhoenix, AZ 85006-2837

Mailing Address1441 N 12th StPhoenix, AZ 85006-2837 · (602) 521-5977

Phone(602) 521-5977

Sole ProprietorYes

Enumeration DateJune 20, 2025

NPPES CertifiedJune 20, 2025

✔ NPI 1922995059 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.

1441 N 12TH ST, Phoenix, AZ 85006

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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)

Samuelbhai Sunilbhai Macwan 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.

LINDSEY RENTERIA NP

Nurse Practitioner