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VAISHNAVI THEEGALA MD
NPI 1356912547
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since July 08, 2021PECOS Enrolled
4301 W MARKHAM ST, LITTLE ROCK, AR 72205(501) 526-5310 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vaishnavi Theegala Md NPPES

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

VAISHNAVI THEEGALA MD (NPI 1356912547) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Johnson City.

NPPES Registry Identity

NPI1356912547
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameVAISHNAVI THEEGALACredential: MD
Location Address4301 W MARKHAM STLittle Rock, AR 72205-7101
Mailing Address603 Suffolk RdJohnson City, TN 37615-3993 · (740) 272-8364
Phone(501) 526-5310
Sole ProprietorYes
Enumeration DateJuly 8, 2021
Last NPPES UpdateMarch 22, 2024
NPPES CertifiedMarch 22, 2024
✔ NPI 1356912547 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.
4301 W MARKHAM ST, Little Rock, AR 72205
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Secondary Practice Location 1

Location 1325 N State Of Franklin RdJohnson City, TN 37604-6056 · Phone (423) 439-7280 · Fax (423) 439-7314

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vaishnavi Theegala 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.

MRS. LESLEY BROOKE JONES R.D.
Dietitian, Registered
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6857
NANCY MAALOUF M.D.
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST, SLOT # 500
LITTLE ROCK, AR 72205
Pulaski County (501) 296-1165
DR. ARMANDO LEONEL MARTINEZ M.D.
Emergency Medicine
4301 W MARKHAM ST, SLOT 783
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
ELENA AMBROGINI MD PHD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4301 W MARKHAM ST, # 783
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
SUKANTHI KOVVURU
Psychiatry & Neurology (Neuromuscular Medicine)
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (609) 865-3702
JORDAN ALEECE FLETCHER
Obstetrics & Gynecology
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 686-7000
DR. TYLER KRISTOPHER ROSE M.D.
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
LUKE WILLIAM GANUCHEAU MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 376-2211

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 Vaishnavi Theegala's NPI number?

The NPI number for Vaishnavi Theegala is 1356912547. It was assigned to this individual provider in the NPPES registry on July 8, 2021.

Where is Vaishnavi Theegala located?

Vaishnavi Theegala practices at 4301 W Markham St, Little Rock, AR 72205. The listed phone number is (501) 526-5310.

What is Vaishnavi Theegala's specialty?

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

Is Vaishnavi Theegala enrolled in Medicare?

Yes. Vaishnavi Theegala is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vaishnavi Theegala was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.