KRUTI HEMESHKUMAR DAVE
NPI 1114617057
Student in an Organized Health Care Education/Training Program in Colfax, NC

Active since May 12, 2023PECOS Enrolled
4600 OWLS VIEW CT, COLFAX, NC 27235(336) 587-4915 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kruti Hemeshkumar Dave NPPES

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

KRUTI HEMESHKUMAR DAVE (NPI 1114617057) is an individual student in an organized health care education/training program in Colfax, North Carolina and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114617057
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKRUTI HEMESHKUMAR DAVE
Location Address4600 OWLS VIEW CTColfax, NC 27235-9868
Mailing Address4600 Owls View CtColfax, NC 27235-9868
Sole ProprietorNo
Enumeration DateMay 12, 2023
NPPES CertifiedMay 12, 2023
NPI 1114617057 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.

4600 OWLS VIEW CT, Colfax, NC 27235

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kruti Hemeshkumar Dave 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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114617057, enumerated as an "individual" on May 12, 2023.

The provider is located at 4600 OWLS VIEW CT COLFAX, NC 27235 and the phone number is (336) 587-4915.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.