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ASHWINI POTHARAM
NPI 1184474785
Student in an Organized Health Care Education/Training Program in Pine Bluff, AR

Active since March 26, 2024PECOS Enrolled
1600 W 40TH AVE, PINE BLUFF, AR 71603(870) 541-7100 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ashwini Potharam NPPES

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

ASHWINI POTHARAM (NPI 1184474785) is an individual student in an organized health care education/training program in Pine Bluff, Arkansas and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184474785
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameASHWINI POTHARAM
Location Address1600 W 40TH AVEPine Bluff, AR 71603-6301
Mailing Address1600 W 40th AvePine Bluff, AR 71603-6301 · (870) 541-7100
Phone(870) 541-7100
Sole ProprietorNo
Enumeration DateMarch 26, 2024
NPPES CertifiedMarch 25, 2024
✔ NPI 1184474785 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.
1600 W 40TH AVE, Pine Bluff, AR 71603
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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)

Ashwini Potharam 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.

MRS. REBEKAH A CROWDER MS, RD, LD, CDE
Dietitian, Registered
1600 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-3274
DR. MOHANNED HASSAN MOHAMMED AHMED M.D.
Family Medicine
1600 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-7100
NAZNIN JAMAL MD
Internal Medicine
1600 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-7100
CHRISTA CHAMBERS
Pharmacist
1600 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-7902
SHELLY R CAINE RN
Registered Nurse (Maternal Newborn)
1600 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-7100
VIBHA M PATEL PTA
Physical Therapy Assistant
1600 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-8776
MS. ASHLEIGH RYAN CULCLAGER
Student in an Organized Health Care Education/Training Program
1600 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-7100
JEFFERSON REGIONAL ANESTHESIA LLC
Nurse Anesthetist, Certified Registered
1600 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-7370

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 Ashwini Potharam's NPI number?

The NPI number for Ashwini Potharam is 1184474785. It was assigned to this individual provider in the NPPES registry on March 26, 2024.

Where is Ashwini Potharam located?

Ashwini Potharam practices at 1600 W 40th Ave, Pine Bluff, AR 71603. The listed phone number is (870) 541-7100.

What is Ashwini Potharam's specialty?

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

Is Ashwini Potharam enrolled in Medicare?

Yes. Ashwini Potharam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ashwini Potharam was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.