Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MYTHILI PULAVARTHI MD
NPI 1255081089
Student in an Organized Health Care Education/Training Program in Danville, PA

Q: What is Mythili Pulavarthi's NPI number?

The NPI number for Mythili Pulavarthi is 1255081089. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Q: What is Mythili Pulavarthi's specialty?

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

Active since March 25, 2022PECOS Enrolled

100 N ACADEMY AVE, DANVILLE, PA 17822(570) 271-6211 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Dr. Mythili Pulavarthi Md NPPES

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

DR. MYTHILI PULAVARTHI MD (NPI 1255081089) is an individual student in an organized health care education/training program in Danville, Pennsylvania and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Morgantown.

NPPES Registry Identity

NPI1255081089

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. MYTHILI PULAVARTHICredential: MD

Location Address100 N ACADEMY AVEDanville, PA 17822-0001

Mailing AddressPo Box 780Morgantown, WV 26507-0780 · (304) 285-7101

Phone(570) 271-6211

Sole ProprietorNo

Enumeration DateMarch 25, 2022

Last NPPES UpdateAugust 24, 2026

NPPES CertifiedAugust 24, 2026

✔ NPI 1255081089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 36993 (WV)

100 N ACADEMY AVE, Danville, PA 17822

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Secondary Practice Location 1

Location 11 Medical Center DrMorgantown, WV 26506-1200 · Phone (304) 598-4000

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. Mythili Pulavarthi Md 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.

DR. TARA JEAN LOUX MD

Surgery (Pediatric Surgery)