AVINASH SIMHACHALA KOLLI
NPI 1104404219
Student in an Organized Health Care Education/Training Program in Tampa, FL
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Avinash Simhachala Kolli is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Avinash Kolli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Klamath Falls, OR 97603
- Reassigned Medicare billing, Oregon enrollment
- 2,212 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
TAMPA, FL 33606
TAMPA, FL 33606
TAMPA, FL 33606
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.
Which organization bills Medicare for Avinash Kolli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Avinash Kolli reassigns Medicare benefits to University Professional Services (Klamath Falls, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Avinash Kolli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Avinash Kolli accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Avinash Simhachala Kolli · NPI 1104404219
Student in an Organized Health Care Education/Training Program provider in Tampa, Florida. Individual provider, active in the CMS NPPES registry since March 30, 2021.
## Identity
- **NPI:** 1104404219 (Entity type: Individual)
- **Enumerated:** March 30, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 17 DAVIS BLVD, Tampa, FL 33606-3475
- **Phone:** (813) 974-2201
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Professional Services (NPI 1659605707, Klamath Falls, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1104404219) · Data from the CMS NPPES public registry.