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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PALLAVI MADANNAGARI MD
NPI 1154246817
Student in an Organized Health Care Education/Training Program in Bangor, ME

Active since August 12, 2026PECOS Enrolled
895 UNION ST STE 12, BANGOR, ME 04401(207) 973-7979(207) 947-9579 Get Directions Write a Review

NPPES record added: August 12, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Pallavi Madannagari Md NPPES

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

PALLAVI MADANNAGARI MD (NPI 1154246817) is an individual student in an organized health care education/training program in Bangor, Maine and active in the NPI registry since August 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154246817
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePALLAVI MADANNAGARICredential: MD
Location Address895 UNION ST STE 12Bangor, ME 04401-3054
Mailing Address43 Whiting Hill Rd Ste 350Brewer, ME 04412-1020 · (207) 973-5000 · Fax (207) 973-5042
Phone(207) 973-7979
Fax(207) 947-9579
Sole ProprietorNo
Enumeration DateAugust 12, 2026
NPPES CertifiedAugust 12, 2026
✔ NPI 1154246817 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.
895 UNION ST STE 12, Bangor, ME 04401
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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)

Pallavi Madannagari 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.

HEATH MYERS LCSW
Social Worker (Clinical)
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
CALLAGHAN JOSEPH GILLIS MD
Family Medicine
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
DANE WANNIARACHIGE MD
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
ADAM DAVID SMITH MD
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
HANNAH MARION VARNEY ALBERT DO
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
AVERY DEVIN HERZOG LMSW-CC
Social Worker (Clinical)
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
SUNMEET KAUR MD
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979
RAVIN ASHLEY BUSSIERE DO
Student in an Organized Health Care Education/Training Program
895 UNION ST STE 12
BANGOR, ME 04401
Penobscot County (207) 973-7979

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 Pallavi Madannagari's NPI number?

The NPI number for Pallavi Madannagari is 1154246817. It was assigned to this individual provider in the NPPES registry on August 12, 2026.

Where is Pallavi Madannagari located?

Pallavi Madannagari practices at 895 Union St Ste 12, Bangor, ME 04401. The listed phone number is (207) 973-7979.

What is Pallavi Madannagari's specialty?

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

Is Pallavi Madannagari enrolled in Medicare?

Yes. Pallavi Madannagari is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pallavi Madannagari was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.