SIDHARTH SATISH MAHAJAN
NPI 1124879713
Student in an Organized Health Care Education/Training Program in Knoxville, TN

Active since April 01, 2024PECOS Enrolled
1924 ALCOA HWY # U-114, KNOXVILLE, TN 37920(865) 305-3789(865) 305-8261 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sidharth Satish Mahajan NPPES

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

SIDHARTH SATISH MAHAJAN (NPI 1124879713) is an individual student in an organized health care education/training program in Knoxville, Tennessee and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124879713
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSIDHARTH SATISH MAHAJAN
Location Address1924 ALCOA HWY # U-114Knoxville, TN 37920-1511
Mailing Address1924 Alcoa Hwy # U-114Knoxville, TN 37920-1511 · (865) 305-3789 · Fax (865) 305-8261
Fax(865) 305-8261
Sole ProprietorNo
Enumeration DateApril 1, 2024
NPPES CertifiedMarch 30, 2024
NPI 1124879713 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.
1924 ALCOA HWY # U-114, Knoxville, TN 37920

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sidharth Satish Mahajan 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.

Internal Medicine (Critical Care Medicine)
1924 ALCOA HWY # U-114
KNOXVILLE, TN 37920
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-114
KNOXVILLE, TN 37920
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-114
KNOXVILLE, TN 37920
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-114
KNOXVILLE, TN 37920
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-114
KNOXVILLE, TN 37920
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-114
KNOXVILLE, TN 37920
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-114
KNOXVILLE, TN 37920
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-114
KNOXVILLE, TN 37920

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 Sidharth Mahajan's NPI number?

The NPI number for Sidharth Mahajan is 1124879713. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Sidharth Mahajan located?

Sidharth Mahajan practices at 1924 Alcoa Hwy # U-114, Knoxville, TN 37920. The listed phone number is (865) 305-3789.

What is Sidharth Mahajan's specialty?

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

Is Sidharth Mahajan enrolled in Medicare?

Yes. Sidharth Mahajan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sidharth Mahajan was last updated on April 1, 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.