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AKHIL GOUD PACHIMATLA MD
NPI 1134914542
Student in an Organized Health Care Education/Training Program in Southfield, MI

Active since April 14, 2025PECOS Enrolled
22250 PROVIDENCE DR STE 301A, SOUTHFIELD, MI 48075(248) 849-3254 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Akhil Goud Pachimatla Md NPPES

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

AKHIL GOUD PACHIMATLA MD (NPI 1134914542) is an individual student in an organized health care education/training program in Southfield, Michigan and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134914542
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameAKHIL GOUD PACHIMATLACredential: MD
Location Address22250 PROVIDENCE DR STE 301ASouthfield, MI 48075-6211
Mailing Address22250 Providence DrSouthfield, MI 48075-4825 · (248) 849-3254
Phone(248) 849-3254
Sole ProprietorNo
Enumeration DateApril 14, 2025
NPPES CertifiedApril 14, 2025
✔ NPI 1134914542 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.
22250 PROVIDENCE DR STE 301A, Southfield, MI 48075
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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)

Akhil Goud Pachimatla 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 2

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

DR. TUSHAR KHANNA MD
Internal Medicine (Gastroenterology)
22250 PROVIDENCE DR STE 301A
SOUTHFIELD, MI 48075
Oakland County (248) 849-3254
DR. POOJA JAGDISH MUDE DO
Internal Medicine (Gastroenterology)
22250 PROVIDENCE DR STE 301A
SOUTHFIELD, MI 48075
Oakland County (248) 849-3254

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 Akhil Goud Pachimatla's NPI number?

The NPI number for Akhil Goud Pachimatla is 1134914542. It was assigned to this individual provider in the NPPES registry on April 14, 2025.

Where is Akhil Goud Pachimatla located?

Akhil Goud Pachimatla practices at 22250 Providence Dr Ste 301A, Southfield, MI 48075. The listed phone number is (248) 849-3254.

What is Akhil Goud Pachimatla's specialty?

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

Is Akhil Goud Pachimatla enrolled in Medicare?

Yes. Akhil Goud Pachimatla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Akhil Goud Pachimatla was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.