NANDAN SRINIVASA
NPI 1356036024
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since April 10, 2023PECOS Enrolled
1215 LEE ST, CHARLOTTESVILLE, VA 22908(434) 924-1931(434) 244-4451 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nandan Srinivasa NPPES

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

NANDAN SRINIVASA (NPI 1356036024) is an individual student in an organized health care education/training program in Charlottesville, Virginia and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356036024
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNANDAN SRINIVASA
Location Address1215 LEE STCharlottesville, VA 22908-0816
Mailing Address1215 Lee Street Box 800744Charlottesville, VA 22908-0816 · (434) 924-1931 · Fax (434) 244-4451
Fax(434) 244-4451
Sole ProprietorNo
Enumeration DateApril 10, 2023
NPPES CertifiedApril 8, 2023
NPI 1356036024 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.

1215 LEE ST, Charlottesville, VA 22908

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nandan Srinivasa 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.

Nurse Anesthetist, Certified Registered
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Pharmacist
1215 LEE ST, UVA MEDICAL CENTER OUTPATIENT PHARMACY
CHARLOTTESVILLE, VA 22908
Pharmacist
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Radiology (Diagnostic Radiology)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Anesthetist, Certified Registered
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Anesthetist, Certified Registered
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Student in an Organized Health Care Education/Training Program
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Student in an Organized Health Care Education/Training Program
1215 LEE ST
CHARLOTTESVILLE, VA 22908

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356036024, enumerated as an "individual" on April 10, 2023.

The provider is located at 1215 LEE ST CHARLOTTESVILLE, VA 22908 and the phone number is (434) 924-1931.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.