MALLIKA YAVATKAR
NPI 1083060784
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since May 11, 2016PECOS EnrolledAccepts Medicare Assignment
29 S PACA ST, BALTIMORE, MD 21201(503) 481-3423 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 29, 2021, May 11, 2016 (2 updates tracked since 2016).

About Mallika Yavatkar NPPES

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

MALLIKA YAVATKAR (NPI 1083060784) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2016).

NPPES Registry Identity

NPI1083060784
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMALLIKA YAVATKAR
Location Address29 S PACA STBaltimore, MD 21201-1771
Mailing Address18746 Dundee AveSaratoga, CA 95070-4609
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2016
Enumeration DateMay 11, 2016
Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration
NPI 1083060784 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.
29 S PACA ST, Baltimore, MD 21201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mallika Yavatkar is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264727932
PECOS Enrollment IDI20200110002563
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
29 S PACA ST
BALTIMORE, MD 21201
Family Medicine
29 S PACA ST, LOWER LEVEL
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
29 S PACA ST
BALTIMORE, MD 21201
Family Medicine
29 S PACA ST
BALTIMORE, MD 21201
Specialist
29 S PACA ST
BALTIMORE, MD 21201
Family Medicine
29 S PACA ST
BALTIMORE, MD 21201
Family Medicine
29 S PACA ST
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
29 S PACA ST
BALTIMORE, MD 21201

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 Mallika Yavatkar's NPI number?

The NPI number for Mallika Yavatkar is 1083060784. It was assigned to this individual provider in the NPPES registry on May 11, 2016.

Where is Mallika Yavatkar located?

Mallika Yavatkar practices at 29 S Paca St, Baltimore, MD 21201. The listed phone number is (503) 481-3423.

What is Mallika Yavatkar's specialty?

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

Is Mallika Yavatkar enrolled in Medicare?

Yes. Mallika Yavatkar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mallika Yavatkar was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.