DR. MICHAEL C ENECHUKWU MD
NPI 1962148940
Student in an Organized Health Care Education/Training Program in Syracuse, NY

Q: What is Michael Enechukwu's NPI number?

The NPI number for Michael Enechukwu is 1962148940. It was assigned to this individual provider in the NPPES registry on May 11, 2022.

Q: What is Michael Enechukwu'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 Michael Enechukwu was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 11, 2022PECOS Enrolled

750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-5540 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Michael C Enechukwu Md NPPES

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

DR. MICHAEL C ENECHUKWU MD (NPI 1962148940) is an individual student in an organized health care education/training program in Syracuse, New York and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1962148940

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. MICHAEL C ENECHUKWUCredential: MD

Location Address750 E ADAMS STSyracuse, NY 13210-1834

Mailing Address335a Hunterdon StNewark, NJ 07103-2599

Phone(315) 464-5540

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMay 11, 2022

NPPES CertifiedMay 11, 2022

✔ NPI 1962148940 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.

750 E ADAMS ST, Syracuse, NY 13210

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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)

Dr. Michael C Enechukwu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951880798

PECOS Enrollment IDI20260211001879

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.

DAVID M KANTER MD

Physical Medicine & Rehabilitation