DR. PAVAN KUMAR PAKA MB BCH BAO
NPI 1174084685
Student in an Organized Health Care Education/Training Program in New York, NY

Active since March 27, 2019PECOS Enrolled
1000 10TH AVE FL 3, NEW YORK, NY 10019(212) 259-6777 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Pavan Kumar Paka Mb Bch Bao NPPES

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

DR. PAVAN KUMAR PAKA MB BCH BAO (NPI 1174084685) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174084685
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. PAVAN KUMAR PAKACredential: MB BCH BAO
Location Address1000 10TH AVE FL 3New York, NY 10019-1147
Mailing Address1000 10th Ave Fl 3New York, NY 10019-1147 · (212) 259-6777
Sole ProprietorNo
Enumeration DateMarch 27, 2019
NPI 1174084685 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.
1000 10TH AVE FL 3, New York, NY 10019

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Pavan Kumar Paka Mb Bch Bao 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.

Student in an Organized Health Care Education/Training Program
1000 10TH AVE FL 3
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE FL 3
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE FL 3
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE FL 3
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE FL 3, ROOM 3A-08
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE FL 3, ROOM 3A-08
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE FL 3
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE FL 3
NEW YORK, NY 10019

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 Pavan Paka's NPI number?

The NPI number for Pavan Paka is 1174084685. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Where is Pavan Paka located?

Pavan Paka practices at 1000 10th Ave Fl 3, New York, NY 10019. The listed phone number is (212) 259-6777.

What is Pavan Paka's specialty?

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

Is Pavan Paka enrolled in Medicare?

Yes. Pavan Paka is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pavan Paka was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.