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NIVEDITHA JAGADESH
NPI 1114663325
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since May 10, 2022PECOS Enrolled
420 DELAWARE STREET SE, MMC 195, MINNEAPOLIS, MN 55455(612) 625-6483 Get Directions Write a Review

NPPES record last updated: December 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 15, 2024, May 10, 2022 (2 updates tracked since 2022).

About Niveditha Jagadesh NPPES

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

NIVEDITHA JAGADESH (NPI 1114663325) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2022).

NPPES Registry Identity

NPI1114663325
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNIVEDITHA JAGADESH
Location Address420 DELAWARE STREET SE, MMC 195Minneapolis, MN 55455
Mailing Address420 Delaware Street Se, Mmc 195Minneapolis, MN 55455
Phone(612) 625-6483
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2022
Enumeration DateMay 10, 2022
Last NPPES UpdateDecember 15, 20242 updates tracked since enumeration
NPPES CertifiedDecember 15, 2024
✔ NPI 1114663325 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.
420 DELAWARE STREET SE, MMC 195, Minneapolis, MN 55455
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Niveditha Jagadesh is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769863042
PECOS Enrollment IDI20250929000282
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.

Medicare Billing Reassignment

Medicare enrollment records show Niveditha Jagadesh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fairview Health Services
0.5 mi
General Acute Care Hospital
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1013994359 (612) 672-6000

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 5

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

MIRANDA CONSIDINE
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 195
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-6483
EDWARD GREGORY WALCZAK
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 195
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-6483
DR. DEBBIE LI MD
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 195
MINNEAPOLIS, MN 55455
Hennepin County (612) 301-9433
DR. NOLAN GREGORY SCHWARZ MD, MS
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 195
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-6483
ZACHARY ANDREW GERMAN MD
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 195
MINNEAPOLIS, MN 55455
Hennepin County (612) 301-9433

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 Niveditha Jagadesh's NPI number?

The NPI number for Niveditha Jagadesh is 1114663325. It was assigned to this individual provider in the NPPES registry on May 10, 2022.

Where is Niveditha Jagadesh located?

Niveditha Jagadesh practices at 420 Delaware Street SE, Mmc 195, Minneapolis, MN 55455. The listed phone number is (612) 625-6483.

What is Niveditha Jagadesh's specialty?

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

Is Niveditha Jagadesh enrolled in Medicare?

Yes. Niveditha Jagadesh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Niveditha Jagadesh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Niveditha Jagadesh reassigns Medicare benefits to Fairview Health Services (Minneapolis, MN). 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 Niveditha Jagadesh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Niveditha Jagadesh was last updated on December 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.