DR. PRAVEENA THAMMIREDDY MBBS
NPI 1033911375
Student in an Organized Health Care Education/Training Program in Mount Vernon, WA

Q: What is Praveena Thammireddy's NPI number?

The NPI number for Praveena Thammireddy is 1033911375. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Q: What is Praveena Thammireddy's specialty?

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

Active since March 26, 2025PECOS Enrolled

1415 E KINCAID ST, MOUNT VERNON, WA 98274(360) 428-2592 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Praveena Thammireddy Mbbs NPPES

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

DR. PRAVEENA THAMMIREDDY MBBS (NPI 1033911375) is an individual student in an organized health care education/training program in Mount Vernon, Washington and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033911375

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. PRAVEENA THAMMIREDDYCredential: MBBS

Location Address1415 E KINCAID STMount Vernon, WA 98274-4126

Mailing Address1415 E Kincaid StMount Vernon, WA 98274-4126 · (360) 428-2592

Phone(360) 428-2592

Sole ProprietorNo

Enumeration DateMarch 26, 2025

NPPES CertifiedMarch 26, 2025

✔ NPI 1033911375 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.

1415 E KINCAID ST, Mount Vernon, WA 98274

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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. Praveena Thammireddy Mbbs 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.

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