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AMULYA PRABHALA MD
NPI 1124812532
Student in an Organized Health Care Education/Training Program in Hillsboro, OR

Active since April 09, 2025PECOS Enrolled
335 SE 8TH AVE, HILLSBORO, OR 97123(503) 681-1111 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amulya Prabhala Md NPPES

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

AMULYA PRABHALA MD (NPI 1124812532) is an individual student in an organized health care education/training program in Hillsboro, Oregon and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124812532
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMULYA PRABHALACredential: MD
Location Address335 SE 8TH AVEHillsboro, OR 97123-4246
Mailing Address15390 Sw Kiwanda LnBeaverton, OR 97007-5048 · (503) 207-8365
Phone(503) 681-1111
Sole ProprietorYes
Enumeration DateApril 9, 2025
NPPES CertifiedApril 9, 2025
✔ NPI 1124812532 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.
335 SE 8TH AVE, Hillsboro, OR 97123
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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)

Amulya Prabhala 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 20

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

TOBY J COGHILL
Specialist/Technologist, Other (Surgical Assistant)
335 SE 8TH AVE
HILLSBORO, OR 97123
Washington County (503) 681-1111
DR. RODNEY WAYNE DODGE M.D.
Emergency Medicine
335 SE 8TH AVE
HILLSBORO, OR 97123
Washington County (503) 681-1111
DR. NATALIE KU MD
Radiology (Diagnostic Radiology)
335 SE 8TH AVE
HILLSBORO, OR 97123
Washington County (503) 681-1000
BETHANY LONGAKER MS, CCC-SLP
Speech-Language Pathologist
335 SE 8TH AVE
HILLSBORO, OR 97123
Washington County (503) 681-1605
JENNIFER LEE JOHNSON MPT
Physical Medicine & Rehabilitation
335 SE 8TH AVE
HILLSBORO, OR 97123
Washington County (503) 640-6064
SCOT T SMITH MD
Internal Medicine
335 SE 8TH AVE
HILLSBORO, OR 97123
Washington County (503) 681-1111
MARIE PIELAGE PT
Physical Therapist (Orthopedic)
335 SE 8TH AVE
HILLSBORO, OR 97123
Washington County (503) 640-6006
HELENA VENTOSA CAPELL MD
Student in an Organized Health Care Education/Training Program
335 SE 8TH AVE
HILLSBORO, OR 97123
Washington County (503) 681-1111

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 Amulya Prabhala's NPI number?

The NPI number for Amulya Prabhala is 1124812532. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Where is Amulya Prabhala located?

Amulya Prabhala practices at 335 SE 8th Ave, Hillsboro, OR 97123. The listed phone number is (503) 681-1111.

What is Amulya Prabhala's specialty?

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

Is Amulya Prabhala enrolled in Medicare?

Yes. Amulya Prabhala is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amulya Prabhala was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.