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ABHIJIT BALKRISHNA JAGDALE MD
NPI 1104512326
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 12, 2023PECOS Enrolled
550 UNIVERSITY BLVD RM 4601, INDIANAPOLIS, IN 46202(317) 274-5707 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Abhijit Balkrishna Jagdale Md NPPES

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

ABHIJIT BALKRISHNA JAGDALE MD (NPI 1104512326) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104512326
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameABHIJIT BALKRISHNA JAGDALECredential: MD
Location Address550 UNIVERSITY BLVD RM 4601Indianapolis, IN 46202-5149
Mailing Address420 N White River Pkwy West Dr # 2-109Indianapolis, IN 46222-4488 · (317) 588-4685
Phone(317) 274-5707
Sole ProprietorNo
Enumeration DateApril 12, 2023
Last NPPES UpdateJuly 31, 2023
NPPES CertifiedJuly 31, 2023
✔ NPI 1104512326 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.
550 UNIVERSITY BLVD RM 4601, Indianapolis, IN 46202
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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)

Abhijit Balkrishna Jagdale Md 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOSHUA LAWRENCE SUMNER LCSW
Social Worker (Clinical)
550 UNIVERSITY BLVD RM 4601
INDIANAPOLIS, IN 46202
Marion County (317) 948-8301

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 Abhijit Jagdale's NPI number?

The NPI number for Abhijit Jagdale is 1104512326. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Where is Abhijit Jagdale located?

Abhijit Jagdale practices at 550 University Blvd Rm 4601, Indianapolis, IN 46202. The listed phone number is (317) 274-5707.

What is Abhijit Jagdale's specialty?

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

Is Abhijit Jagdale enrolled in Medicare?

Yes. Abhijit Jagdale is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Abhijit Jagdale was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.