NIRUPAMA NAYUDU
NPI 1215616511
Student in an Organized Health Care Education/Training Program in Kingman, AZ

Active since July 13, 2023PECOS Enrolled
3269 STOCKTON HILL ROAD, KINGMAN, AZ 86409(928) 681-8701 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2024, Jul 13, 2023 (2 updates tracked since 2023).

About Nirupama Nayudu NPPES

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

NIRUPAMA NAYUDU (NPI 1215616511) is an individual student in an organized health care education/training program in Kingman, Arizona and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1215616511
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNIRUPAMA NAYUDU
Location Address3269 STOCKTON HILL ROADKingman, AZ 86409
Mailing Address2202 Stockton Hill Road, Suite 101Kingman, AZ 86401 · (928) 263-4828 · Fax (928) 681-8816
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 13, 2023
Last NPPES UpdateFebruary 6, 20242 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
✔ NPI 1215616511 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.
3269 STOCKTON HILL ROAD, Kingman, AZ 86409

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nirupama Nayudu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941773832
PECOS Enrollment IDI20260623000905
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.

Medicare Billing Reassignment

Medicare enrollment records show Nirupama Nayudu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hospitalist
4700 WATERS AVE
Savannah, GA 31404
  • Reassigned Medicare billing, Georgia enrollment
  • 169 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Anesthesiology
3269 STOCKTON HILL ROAD
KINGMAN, AZ 86409

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 Nirupama Nayudu's NPI number?

The NPI number for Nirupama Nayudu is 1215616511. It was assigned to this individual provider in the NPPES registry on July 13, 2023.

Where is Nirupama Nayudu located?

Nirupama Nayudu practices at 3269 Stockton Hill Road, Kingman, AZ 86409. The listed phone number is (928) 681-8701.

What is Nirupama Nayudu's specialty?

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

Is Nirupama Nayudu enrolled in Medicare?

Yes. Nirupama Nayudu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nirupama Nayudu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nirupama Nayudu reassigns Medicare benefits to Hospital Medicine Services Of Ga LLC (Savannah, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nirupama Nayudu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nirupama Nayudu was last updated on February 6, 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.