Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

POOJA VALLATHARASAN
NPI 1114721917
Student in an Organized Health Care Education/Training Program in Boardman, OH

Q: What is Pooja Vallatharasan's NPI number?

The NPI number for Pooja Vallatharasan is 1114721917. It was assigned to this individual provider in the NPPES registry on April 2, 2025.

Q: What is Pooja Vallatharasan's specialty?

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

Active since April 02, 2025PECOS Enrolled

8423 MARKET ST STE 101, BOARDMAN, OH 44512(330) 729-8700(330) 729-8701 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pooja Vallatharasan NPPES

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

POOJA VALLATHARASAN (NPI 1114721917) is an individual student in an organized health care education/training program in Boardman, Ohio and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114721917

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NamePOOJA VALLATHARASAN

Location Address8423 MARKET ST STE 101Boardman, OH 44512-6778

Mailing Address8423 Market St Ste 101Boardman, OH 44512-6778 · (330) 729-8700 · Fax (330) 729-8701

Phone(330) 729-8700

Fax(330) 729-8701

Sole ProprietorYes

Enumeration DateApril 2, 2025

Last NPPES UpdateJune 30, 2026

NPPES CertifiedJune 30, 2026

✔ NPI 1114721917 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.

8423 MARKET ST STE 101, Boardman, OH 44512

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pooja Vallatharasan 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. ZACHARY JAMES STURMI DO

Student in an Organized Health Care Education/Training Program