RADHIKA MATHUR M.B.B.S
NPI 1073386868
Student in an Organized Health Care Education/Training Program in Brooksville, FL

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since November 02, 2023PECOS Enrolled

11375 CORTEZ BLVD, BROOKSVILLE, FL 34613(352) 596-6632 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Radhika Mathur M.b.b.s NPPES

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

RADHIKA MATHUR M.B.B.S (NPI 1073386868) is an individual student in an organized health care education/training program in Brooksville, Florida and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073386868

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameRADHIKA MATHURCredential: M.B.B.S

Location Address11375 CORTEZ BLVDBrooksville, FL 34613-5409

Mailing Address1324 Carlisle AveElk Grove Vlg, IL 60007-4034 · (630) 965-8375

Phone(352) 596-6632

Sole ProprietorNo

Enumeration DateNovember 2, 2023

NPPES CertifiedNovember 2, 2023

✔ NPI 1073386868 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.

11375 CORTEZ BLVD, Brooksville, FL 34613

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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)

Radhika Mathur M.b.b.s 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.