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DR. SHASHANK RAGHAV THYARALA MBBS
NPI 1225777246
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since May 27, 2022PECOS Enrolled
2601 HOLME AVE, PHILADELPHIA, PA 19152(215) 335-6000 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 7, 2022, May 27, 2022 (2 updates tracked since 2022).

About Dr. Shashank Raghav Thyarala Mbbs NPPES

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

DR. SHASHANK RAGHAV THYARALA MBBS (NPI 1225777246) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225777246
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SHASHANK RAGHAV THYARALACredential: MBBS
Location Address2601 HOLME AVEPhiladelphia, PA 19152-2096
Mailing Address2601 Holme AvePhiladelphia, PA 19152-2007
Phone(215) 335-6000
Sole ProprietorNo
Enumeration DateMay 27, 2022
Last NPPES UpdateJune 7, 20222 updates tracked since enumeration
NPPES CertifiedMay 30, 2022
✔ NPI 1225777246 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.
2601 HOLME AVE, Philadelphia, PA 19152
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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)

Dr. Shashank Raghav Thyarala 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.

NAZERETH PHYSICIAN SERVICES INC
Registered Nurse (Wound Care)
2601 HOLME AVE
PHILADELPHIA, PA 19152
Philadelphia County (215) 335-6445
PATRICIA ELLEN RILEY MD
Physical Medicine & Rehabilitation
2601 HOLME AVE
PHILADELPHIA, PA 19152
Philadelphia County (215) 335-6375
DELAWARE VALLEY PATHOLOGY CONSULTANTS, PA
Pathology (Clinical Pathology/Laboratory Medicine)
2601 HOLME AVE
PHILADELPHIA, PA 19152
Philadelphia County (610) 675-0113
NAZARETH PHYSICIAN SERVICES, INC.
Hospitalist
2601 HOLME AVE
PHILADELPHIA, PA 19152
Philadelphia County (215) 335-6562
BIO-MEDICAL APPLICATIONS OF PENNSYLVANIA, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2601 HOLME AVE, MARIAN BLDG., GROUND FLOOR
PHILADELPHIA, PA 19152
Philadelphia County (215) 335-0668
NOELLE AHMED
Emergency Medicine
2601 HOLME AVE
PHILADELPHIA, PA 19152
Philadelphia County (215) 335-6000
SARAH YASMIN ALEEM MD
Internal Medicine
2601 HOLME AVE
PHILADELPHIA, PA 19152
Philadelphia County (215) 335-6051
NAZARETH PHYSICIAN SERVICES, INC.
Internal Medicine (Hematology & Oncology)
2601 HOLME AVE
PHILADELPHIA, PA 19152
Philadelphia County (215) 335-6141

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 Shashank Thyarala's NPI number?

The NPI number for Shashank Thyarala is 1225777246. It was assigned to this individual provider in the NPPES registry on May 27, 2022.

Where is Shashank Thyarala located?

Shashank Thyarala practices at 2601 Holme Ave, Philadelphia, PA 19152. The listed phone number is (215) 335-6000.

What is Shashank Thyarala's specialty?

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

Is Shashank Thyarala enrolled in Medicare?

Yes. Shashank Thyarala is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shashank Thyarala was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.