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MEGHANA R RANABOTHU
NPI 1063270619
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since March 08, 2024PECOS Enrolled
6071 W OUTER DR, DETROIT, MI 48235(313) 966-3250 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2025, Mar 8, 2024 (2 updates tracked since 2024).

About Meghana R Ranabothu NPPES

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

MEGHANA R RANABOTHU (NPI 1063270619) is an individual student in an organized health care education/training program in Detroit, Michigan, licensed in Michigan (4351055226) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063270619
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMEGHANA R RANABOTHU
Location Address6071 W OUTER DRDetroit, MI 48235-2624
Mailing Address2002 Friesian Ct NeGrand Rapids, MI 49505-3964 · (616) 328-7036
Phone(313) 966-3250
Sole ProprietorNo
Enumeration DateMarch 8, 2024
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1063270619 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
License✔ Licensed in MI · 4351055226
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.
6071 W OUTER DR, Detroit, MI 48235
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meghana R Ranabothu 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.

MS. LILIA POPADIUK P.A.
Physician Assistant
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 993-0200
WALEED OBAID M.D
Internal Medicine
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3250
JAY KINARIWALA
Psychiatry & Neurology (Neurocritical Care)
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-1389
MULUKA TAHIR OMAR DO
Student in an Organized Health Care Education/Training Program
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3300
NICKLAS BARA MD
Student in an Organized Health Care Education/Training Program
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3300
DR. ROBERT T MALINOWSKI M.D.
Emergency Medicine
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3300
ZAKLINA DENDOOVEN CRNA
Nurse Anesthetist, Certified Registered
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (952) 442-9770
DR. MATTHEW J GRIFFIN M.D.
Emergency Medicine
6071 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 966-3300

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 Meghana Ranabothu's NPI number?

The NPI number for Meghana Ranabothu is 1063270619. It was assigned to this individual provider in the NPPES registry on March 8, 2024.

Where is Meghana Ranabothu located?

Meghana Ranabothu practices at 6071 W Outer Dr, Detroit, MI 48235. The listed phone number is (313) 966-3250.

What is Meghana Ranabothu's specialty?

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

Is Meghana Ranabothu enrolled in Medicare?

Yes. Meghana Ranabothu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Meghana Ranabothu was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.