YASWITHA MIKKILINENI
NPI 1073455499
Student in an Organized Health Care Education/Training Program in Fredericksburg, VA

Active since April 06, 2026PECOS Enrolled
1201 SAM PERRY BLVD STE 201, FREDERICKSBURG, VA 22401(540) 741-9200 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yaswitha Mikkilineni NPPES

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

YASWITHA MIKKILINENI (NPI 1073455499) is an individual student in an organized health care education/training program in Fredericksburg, Virginia and active in the NPI registry since April 2026. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073455499
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameYASWITHA MIKKILINENI
Location Address1201 SAM PERRY BLVD STE 201Fredericksburg, VA 22401-4491
Mailing Address1201 Sam Perry Blvd Ste 201Fredericksburg, VA 22401-4491
Sole ProprietorNo
Enumeration DateApril 6, 2026
NPPES CertifiedApril 6, 2026
NPI 1073455499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1201 SAM PERRY BLVD STE 201, Fredericksburg, VA 22401

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Yaswitha Mikkilineni 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.

Student in an Organized Health Care Education/Training Program
1201 SAM PERRY BLVD STE 201
FREDERICKSBURG, VA 22401
Student in an Organized Health Care Education/Training Program
1201 SAM PERRY BLVD STE 201
FREDERICKSBURG, VA 22401
Student in an Organized Health Care Education/Training Program
1201 SAM PERRY BLVD STE 201
FREDERICKSBURG, VA 22401
Internal Medicine
1201 SAM PERRY BLVD STE 201
FREDERICKSBURG, VA 22401
Student in an Organized Health Care Education/Training Program
1201 SAM PERRY BLVD STE 201
FREDERICKSBURG, VA 22401
Student in an Organized Health Care Education/Training Program
1201 SAM PERRY BLVD STE 201
FREDERICKSBURG, VA 22401
Student in an Organized Health Care Education/Training Program
1201 SAM PERRY BLVD STE 201
FREDERICKSBURG, VA 22401
Student in an Organized Health Care Education/Training Program
1201 SAM PERRY BLVD STE 201
FREDERICKSBURG, VA 22401

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 Yaswitha Mikkilineni's NPI number?

The NPI number for Yaswitha Mikkilineni is 1073455499. It was assigned to this individual provider in the NPPES registry on April 6, 2026.

Where is Yaswitha Mikkilineni located?

Yaswitha Mikkilineni practices at 1201 Sam Perry Blvd Ste 201, Fredericksburg, VA 22401. The listed phone number is (540) 741-9200.

What is Yaswitha Mikkilineni's specialty?

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

Is Yaswitha Mikkilineni enrolled in Medicare?

Yes. Yaswitha Mikkilineni is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yaswitha Mikkilineni was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.