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VIJAI KUMAR DORAIRAJ DHARLA JR.
NPI 1336842335
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since March 27, 2023PECOS Enrolled
7165 CLEARVISTA WAY, INDIANAPOLIS, IN 46256(317) 621-5700 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 30, 2023, May 24, 2023, Mar 28, 2023 (3 updates tracked since 2023).

About Vijai Kumar Dorairaj Dharla Jr. NPPES

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

VIJAI KUMAR DORAIRAJ DHARLA JR. (NPI 1336842335) is an individual student in an organized health care education/training program in Indianapolis, Indiana, licensed in Indiana (11022870A) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336842335
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameVIJAI KUMAR DORAIRAJ DHARLA JR.
Location Address7165 CLEARVISTA WAYIndianapolis, IN 46256-4621
Mailing Address7165 Clearvista WayIndianapolis, IN 46256-4621 · (317) 621-5700
Phone(317) 621-5700
Sole ProprietorNo
Enumeration DateMarch 27, 2023
Last NPPES UpdateMay 30, 20233 updates tracked since enumeration
NPPES CertifiedMay 30, 2023
✔ NPI 1336842335 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 IN · 11022870A
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.
7165 CLEARVISTA WAY, Indianapolis, IN 46256
Open in Google Maps ↗

Other Identifiers 1

Medicaid300075620IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vijai Kumar Dorairaj Dharla Jr. 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.

MR. YAMEEN ABDUL-NUR CHESTNUT LMFT
Marriage & Family Therapist
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5100
WENDY BUDWIG
Social Worker (Clinical)
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5100
ANGELA WATTS LCSW
Social Worker (Clinical)
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5100
ZACHARY ALAN MONTGOMERY
Student in an Organized Health Care Education/Training Program
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5700
SARA LIANG WORSHAM DO
Student in an Organized Health Care Education/Training Program
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5700
SYED KAZMI DO
Student in an Organized Health Care Education/Training Program
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5700
KELLY NADINE SOFORIC LMHC
Counselor (Mental Health)
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5100
LESLIE RENEE MONTES FERRIS LCSW
Social Worker (Clinical)
7165 CLEARVISTA WAY
INDIANAPOLIS, IN 46256
Marion County (317) 621-5100

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 Vijai Kumar Dharla's NPI number?

The NPI number for Vijai Kumar Dharla is 1336842335. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Vijai Kumar Dharla located?

Vijai Kumar Dharla practices at 7165 Clearvista Way, Indianapolis, IN 46256. The listed phone number is (317) 621-5700.

What is Vijai Kumar Dharla's specialty?

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

Is Vijai Kumar Dharla enrolled in Medicare?

Yes. Vijai Kumar Dharla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vijai Kumar Dharla was last updated on May 30, 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.