ABANTHI JAGADISH
NPI 1174936132
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since June 07, 2014PECOS EnrolledAccepts Medicare Assignment
1425 PORTLAND AVE, ROCHESTER, NY 14621(585) 922-4829 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Abanthi Jagadish NPPES

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

ABANTHI JAGADISH (NPI 1174936132) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1174936132
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameABANTHI JAGADISH
Location Address1425 PORTLAND AVERochester, NY 14621-3001
Mailing Address64 Buell Dr Apt CRochester, NY 14621-2935
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 7, 2014
Last NPPES UpdateNovember 10, 2021
NPPES CertifiedNovember 10, 2021
NPI 1174936132 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.

1425 PORTLAND AVE, Rochester, NY 14621

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Abanthi Jagadish is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678835543
PECOS Enrollment IDI20180313002201
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.

Internal Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Pediatrics
1425 PORTLAND AVE, BOX 238
ROCHESTER, NY 14621
Radiology (Diagnostic Radiology)
1425 PORTLAND AVE
ROCHESTER, NY 14621
Pediatrics
1425 PORTLAND AVE
ROCHESTER, NY 14621
Radiology (Diagnostic Radiology)
1425 PORTLAND AVE
ROCHESTER, NY 14621
Pediatrics
1425 PORTLAND AVE, BOX 238
ROCHESTER, NY 14621
Psychiatry & Neurology (Geriatric Psychiatry)
1425 PORTLAND AVE
ROCHESTER, NY 14621
Radiology (Diagnostic Radiology)
1425 PORTLAND AVE
ROCHESTER, NY 14621

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 Abanthi Jagadish's NPI number?

The NPI number for Abanthi Jagadish is 1174936132. It was assigned to this individual provider in the NPPES registry on June 7, 2014.

Where is Abanthi Jagadish located?

Abanthi Jagadish practices at 1425 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-4829.

What is Abanthi Jagadish's specialty?

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

Is Abanthi Jagadish enrolled in Medicare?

Yes. Abanthi Jagadish is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Abanthi Jagadish was last updated on November 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.