1. Home
  2. Directory
  3. Rhode Island
  4. Providence
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

KISHAN THAKKAR
NPI 1104528132
Student in an Organized Health Care Education/Training Program in Providence, RI

Active since March 21, 2023PECOS Enrolled
593 EDDY ST, PROVIDENCE, RI 02903(401) 793-2695(401) 444-4165 Get Directions Write a Review

NPPES record last updated: June 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kishan Thakkar NPPES

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

KISHAN THAKKAR (NPI 1104528132) is an individual student in an organized health care education/training program in Providence, Rhode Island and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104528132
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKISHAN THAKKAR
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address970 N Spoede Rd Unit 45Saint Louis, MO 63146-5565 · (314) 757-9857
Phone(401) 793-2695
Fax(401) 444-4165
Sole ProprietorNo
Enumeration DateMarch 21, 2023
Last NPPES UpdateJune 2, 2024
NPPES CertifiedJune 2, 2024
✔ NPI 1104528132 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.
593 EDDY ST, Providence, RI 02903
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kishan Thakkar 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.

DR. KEITH-AUSTIN SCARFO D.O.
Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Providence County (401) 444-3777
AILEEN HSUEH
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-8450
RHODE ISLAND HOSPITAL
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Providence County (401) 444-7585
DR. GA HIE NAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-5057
EUGENIE ATALLAH
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-2645
BRIAN CAO MD
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-4286
BRET CAULFIELD
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4000
JUNG HO GONG
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 793-2695

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 Kishan Thakkar's NPI number?

The NPI number for Kishan Thakkar is 1104528132. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Kishan Thakkar located?

Kishan Thakkar practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 793-2695.

What is Kishan Thakkar's specialty?

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

Is Kishan Thakkar enrolled in Medicare?

Yes. Kishan Thakkar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kishan Thakkar was last updated on June 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.