AVINASH SIMHACHALA KOLLI
NPI 1104404219
Student in an Organized Health Care Education/Training Program in Tampa, FL

Active since March 30, 2021PECOS Enrolled
17 DAVIS BLVD, TAMPA, FL 33606(813) 974-2201 Get Directions Write a Review

NPPES record last updated: April 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Avinash Simhachala Kolli NPPES

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

AVINASH SIMHACHALA KOLLI (NPI 1104404219) is an individual student in an organized health care education/training program in Tampa, Florida and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1104404219
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameAVINASH SIMHACHALA KOLLI
Location Address17 DAVIS BLVDTampa, FL 33606-3475
Mailing Address17 Davis Blvd Ste 308Tampa, FL 33606-3438
Sole ProprietorNo
Enumeration DateMarch 30, 2021
Last NPPES UpdateApril 3, 2021
NPPES CertifiedApril 3, 2021
NPI 1104404219 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.

17 DAVIS BLVD, Tampa, FL 33606

Secondary Practice Location 1

Location 117 Davis BlvdTampa, FL 33606-3475 · Phone (813) 974-2201

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Avinash Simhachala Kolli 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
17 DAVIS BLVD, SUITE 308
TAMPA, FL 33606
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD, SUITE 308
TAMPA, FL 33606
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD, SUITE 308
TAMPA, FL 33606
Psychiatry & Neurology (Psychiatry)
17 DAVIS BLVD, SUITE 308
TAMPA, FL 33606
Pediatrics (Pediatric Infectious Diseases)
17 DAVIS BLVD
TAMPA, FL 33606
Emergency Medicine
17 DAVIS BLVD, SUITE 308
TAMPA, FL 33606
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD
TAMPA, FL 33606
Radiology (Diagnostic Radiology)
17 DAVIS BLVD, SUITE 308
TAMPA, FL 33606

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 Avinash Kolli's NPI number?

The NPI number for Avinash Kolli is 1104404219. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Avinash Kolli located?

Avinash Kolli practices at 17 Davis Blvd, Tampa, FL 33606. The listed phone number is (813) 974-2201.

What is Avinash Kolli's specialty?

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

Is Avinash Kolli enrolled in Medicare?

Yes. Avinash Kolli is registered in the Medicare PECOS enrollment system.

What insurance does Avinash Kolli accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Avinash Kolli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Avinash Kolli was last updated on April 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.