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SATHYADEV NAGARAJ KIKKERI
NPI 1215511456
Student in an Organized Health Care Education/Training Program in Jackson, MS

Active since May 12, 2021PECOS Enrolled
764 LAKELAND DR FL 2, JACKSON, MS 39216(601) 984-6800 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2023, May 12, 2021 (2 updates tracked since 2021).

About Sathyadev Nagaraj Kikkeri NPPES

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

SATHYADEV NAGARAJ KIKKERI (NPI 1215511456) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215511456
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSATHYADEV NAGARAJ KIKKERI
Location Address764 LAKELAND DR FL 2Jackson, MS 39216-4651
Mailing Address764 Lakeland Dr Fl 2Jackson, MS 39216-4651 · (601) 984-6800
Phone(601) 984-6800
Sole ProprietorNo
Enumeration DateMay 12, 2021
Last NPPES UpdateApril 10, 20232 updates tracked since enumeration
NPPES CertifiedApril 10, 2023
✔ NPI 1215511456 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.
764 LAKELAND DR FL 2, Jackson, MS 39216
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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)

Sathyadev Nagaraj Kikkeri 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 2

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

NOORULAIN SHAHID MD
Student in an Organized Health Care Education/Training Program
764 LAKELAND DR FL 2
JACKSON, MS 39216
Hinds County (601) 984-5426
AABHA SHAKYA MD
Family Medicine
764 LAKELAND DR FL 2
JACKSON, MS 39216
Hinds County (601) 984-6800

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 Sathyadev Kikkeri's NPI number?

The NPI number for Sathyadev Kikkeri is 1215511456. It was assigned to this individual provider in the NPPES registry on May 12, 2021.

Where is Sathyadev Kikkeri located?

Sathyadev Kikkeri practices at 764 Lakeland Dr Fl 2, Jackson, MS 39216. The listed phone number is (601) 984-6800.

What is Sathyadev Kikkeri's specialty?

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

Is Sathyadev Kikkeri enrolled in Medicare?

Yes. Sathyadev Kikkeri is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sathyadev Kikkeri was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.