KEERTHANA NIMMAGADDA MD
NPI 1124887583
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Q: What is Keerthana Nimmagadda's NPI number?

The NPI number for Keerthana Nimmagadda is 1124887583. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Q: What is Keerthana Nimmagadda'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 March 18, 2024PECOS Enrolled

1400 8TH AVE, FORT WORTH, TX 76104(817) 926-2544 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Keerthana Nimmagadda Md NPPES

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

KEERTHANA NIMMAGADDA MD (NPI 1124887583) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124887583

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKEERTHANA NIMMAGADDACredential: MD

Location Address1400 8TH AVEFort Worth, TX 76104-4110

Mailing Address1400 8th AveFort Worth, TX 76104-4110

Phone(817) 926-2544

Sole ProprietorYes

Enumeration DateMarch 18, 2024

NPPES CertifiedMarch 18, 2024

✔ NPI 1124887583 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.

1400 8TH AVE, Fort Worth, TX 76104

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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)

Keerthana Nimmagadda 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.

JOEY MAYOR MD

Emergency Medicine