Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RAJI RAO NAGALLA MD
NPI 1164117446
Student in an Organized Health Care Education/Training Program in Miami, FL

Active since April 11, 2023PECOS Enrolled
1150 NW 14TH ST FL 2, MIAMI, FL 33136(305) 243-6704 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Apr 11, 2023 (2 updates tracked since 2023).

About Raji Rao Nagalla Md NPPES

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

RAJI RAO NAGALLA MD (NPI 1164117446) is an individual student in an organized health care education/training program in Miami, Florida, licensed in Florida (TRN41221) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164117446
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameRAJI RAO NAGALLACredential: MD
Location Address1150 NW 14TH ST FL 2Miami, FL 33136-2137
Mailing Address1600 Nw 10th AveMiami, FL 33136-1015 · (305) 243-6704
Sole ProprietorNo
Enumeration DateApril 11, 2023
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
NPI 1164117446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in FL · TRN41221
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.
1150 NW 14TH ST FL 2, Miami, FL 33136

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Raji Rao Nagalla 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 9

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

Dermatology
1150 NW 14TH ST FL 2
MIAMI, FL 33136
Dermatology
1150 NW 14TH ST FL 2
MIAMI, FL 33136
Nurse Practitioner (Family)
1150 NW 14TH ST FL 2
MIAMI, FL 33136
Dermatology
1150 NW 14TH ST FL 2
MIAMI, FL 33136
Dermatology
1150 NW 14TH ST FL 2
MIAMI, FL 33136
Dermatology
1150 NW 14TH ST FL 2
MIAMI, FL 33136
Dermatology
1150 NW 14TH ST FL 2
MIAMI, FL 33136
Nurse Practitioner (Family)
1150 NW 14TH ST FL 2
MIAMI, FL 33136

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 Raji Nagalla's NPI number?

The NPI number for Raji Nagalla is 1164117446. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Raji Nagalla located?

Raji Nagalla practices at 1150 NW 14th St Fl 2, Miami, FL 33136. The listed phone number is (305) 243-6704.

What is Raji Nagalla's specialty?

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

Is Raji Nagalla enrolled in Medicare?

Yes. Raji Nagalla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raji Nagalla was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 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.