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TEJASVITAA RAVILLA SRIDHAR MBBS
NPI 1073366670
Student in an Organized Health Care Education/Training Program in Gulfport, MS

Active since April 11, 2024PECOS Enrolled
4500 13TH ST, GULFPORT, MS 39501(228) 867-4968 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tejasvitaa Ravilla Sridhar Mbbs NPPES

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

TEJASVITAA RAVILLA SRIDHAR MBBS (NPI 1073366670) is an individual student in an organized health care education/training program in Gulfport, Mississippi and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073366670
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTEJASVITAA RAVILLA SRIDHARCredential: MBBS
Location Address4500 13TH STGulfport, MS 39501-2515
Mailing Address4500 13th StGulfport, MS 39501-2515 · (228) 867-4968
Phone(228) 867-4968
Sole ProprietorNo
Enumeration DateApril 11, 2024
NPPES CertifiedApril 11, 2024
✔ NPI 1073366670 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.

4500 13TH ST, Gulfport, MS 39501
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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)

Tejasvitaa Ravilla Sridhar 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.

HEATHER LYN JEFFREY
Nurse Practitioner
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 867-4000
JASON WELLS CRNA
Nurse Anesthetist, Certified Registered
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 865-3281
MRS. CARLA ANN RUSHING AGACNP
Nurse Practitioner (Acute Care)
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 867-4000
TONI-ANN MILLER NP
Nurse Practitioner (Acute Care)
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 867-4000
MS. TIFFANY S SCATLIFFE CSFA
Physician Assistant (Surgical)
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 867-4000
STANLEY TURNER CRNA
Anesthesiology
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 818-0563
MRS. JULIE KERSH APPEL RD
Dietitian, Registered
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 867-4054
DAVIS HUTTO CRNA
Anesthesiology
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 818-0563

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 Tejasvitaa Ravilla Sridhar's NPI number?

The NPI number for Tejasvitaa Ravilla Sridhar is 1073366670. It was assigned to this individual provider in the NPPES registry on April 11, 2024.

Where is Tejasvitaa Ravilla Sridhar located?

Tejasvitaa Ravilla Sridhar practices at 4500 13th St, Gulfport, MS 39501. The listed phone number is (228) 867-4968.

What is Tejasvitaa Ravilla Sridhar's specialty?

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

Is Tejasvitaa Ravilla Sridhar enrolled in Medicare?

Yes. Tejasvitaa Ravilla Sridhar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tejasvitaa Ravilla Sridhar was last updated on April 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.