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VIKRANT BADHWAR MD
NPI 1255123089
Student in an Organized Health Care Education/Training Program in Suprise, AZ

Active since May 19, 2025PECOS Enrolled
13995 W STATLER BLVD UNIT 200, SUPRISE, AZ 85374(602) 478-3100 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2025, May 19, 2025 (2 updates tracked since 2025).

About Vikrant Badhwar Md NPPES

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

VIKRANT BADHWAR MD (NPI 1255123089) is an individual student in an organized health care education/training program in Suprise, Arizona, licensed in Arizona (R81666) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255123089
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameVIKRANT BADHWARCredential: MD
Location Address13995 W STATLER BLVD UNIT 200Suprise, AZ 85374
Mailing Address13995 W Statler Blvd Unit 200Suprise, AZ 85374 · (602) 478-3100
Phone(602) 478-3100
Sole ProprietorYes
Enumeration DateMay 19, 2025
Last NPPES UpdateAugust 13, 20252 updates tracked since enumeration
✔ NPI 1255123089 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
License✔ Licensed in AZ · R81666
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.
13995 W STATLER BLVD UNIT 200, Suprise, AZ 85374
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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)

Vikrant Badhwar 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 5

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

MS. RUDRANI KOTHA M.D.
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD UNIT 200
SUPRISE, AZ 85374
Maricopa County (602) 478-3100
URJA MUKESHBHAI MEHTA M.D.
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD UNIT 200
SURPRISE, AZ 85374
Maricopa County (602) 478-3100
PRIJESH ASHOKBHAI AVAIYA MD
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD UNIT 200
SURPRISE, AZ 85374
Maricopa County (602) 478-3100
MR. ARJUN DHIR
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD UNIT 200
SUPRISE, AZ 85374
Maricopa County (602) 478-3100
MARIFLOR DELGADO RAHIM
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD UNIT 200
SURPRISE, AZ 85374
Maricopa County (602) 478-3100

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 Vikrant Badhwar's NPI number?

The NPI number for Vikrant Badhwar is 1255123089. It was assigned to this individual provider in the NPPES registry on May 19, 2025.

Where is Vikrant Badhwar located?

Vikrant Badhwar practices at 13995 W Statler Blvd Unit 200, Suprise, AZ 85374. The listed phone number is (602) 478-3100.

What is Vikrant Badhwar's specialty?

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

Is Vikrant Badhwar enrolled in Medicare?

Yes. Vikrant Badhwar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vikrant Badhwar was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.