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DEEPA KOSURU
NPI 1013602796
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since April 07, 2023PECOS Enrolled
4301 WEST MARKHAM ST., SLOT 530, LITTLE ROCK, AR 72205(501) 686-8820 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Deepa Kosuru NPPES

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

DEEPA KOSURU (NPI 1013602796) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013602796
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDEEPA KOSURU
Location Address4301 WEST MARKHAM ST., SLOT 530Little Rock, AR 72205
Mailing Address3438 Riverside DrMason, OH 45040-2661 · (513) 496-8400
Phone(501) 686-8820
Sole ProprietorYes
Enumeration DateApril 7, 2023
NPPES CertifiedApril 7, 2023
✔ NPI 1013602796 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.
4301 WEST MARKHAM ST., SLOT 530, Little Rock, AR 72205
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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)

Deepa Kosuru 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.

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 Deepa Kosuru's NPI number?

The NPI number for Deepa Kosuru is 1013602796. It was assigned to this individual provider in the NPPES registry on April 7, 2023.

Where is Deepa Kosuru located?

Deepa Kosuru practices at 4301 West Markham St., Slot 530, Little Rock, AR 72205. The listed phone number is (501) 686-8820.

What is Deepa Kosuru's specialty?

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

Is Deepa Kosuru enrolled in Medicare?

Yes. Deepa Kosuru is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Deepa Kosuru was last updated on April 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.