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NIKHIL VAISHNAV TIRUKKOVALUR MBBS
NPI 1174324016
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since March 24, 2025PECOS Enrolled
1402 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 617-3811 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nikhil Vaishnav Tirukkovalur Mbbs NPPES

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

NIKHIL VAISHNAV TIRUKKOVALUR MBBS (NPI 1174324016) is an individual student in an organized health care education/training program in Saint Louis, Missouri, licensed in Missouri (999999) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174324016
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNIKHIL VAISHNAV TIRUKKOVALURCredential: MBBS
Location Address1402 S GRAND BLVDSaint Louis, MO 63104-1004
Mailing Address2714 Shady Ave Apt 3Pittsburgh, PA 15217-2424 · (412) 708-5148
Phone(314) 617-3811
Sole ProprietorNo
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
✔ NPI 1174324016 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
License✔ Licensed in MO · 999999
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.

1402 S GRAND BLVD, Saint Louis, MO 63104
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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)

Nikhil Vaishnav Tirukkovalur Mbbs 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.

HALA YAMOUT M.D.
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD, M260
SAINT LOUIS, MO 63104
St. Louis City (314) 977-9853
VICTORIA M WITTGEN
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-9870
ADAM BALES D.O.
Anesthesiology
1402 S GRAND BLVD, M260
SAINT LOUIS, MO 63104
St. Louis City (314) 977-9853
ALLISON NICOLE PODSEDNIK GARDNER MD
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-3811
DR. KATHERINE JASKOWIAK ROBBINS MD
Pathology (Anatomic Pathology & Clinical Pathology)
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-4547
DR. VIVIAN MAI HATHUC D.O.
Pathology (Anatomic Pathology & Clinical Pathology)
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-4547
TERRY J BUJNAK JR. DO
Orthopaedic Surgery
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-3375
MS. FRANCESCA VACCA
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-8694

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 Nikhil Vaishnav Tirukkovalur's NPI number?

The NPI number for Nikhil Vaishnav Tirukkovalur is 1174324016. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Nikhil Vaishnav Tirukkovalur located?

Nikhil Vaishnav Tirukkovalur practices at 1402 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 617-3811.

What is Nikhil Vaishnav Tirukkovalur's specialty?

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

Is Nikhil Vaishnav Tirukkovalur enrolled in Medicare?

Yes. Nikhil Vaishnav Tirukkovalur is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nikhil Vaishnav Tirukkovalur was last updated on March 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.