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JEEVA JAGABANDHU
NPI 1407430507
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since May 06, 2021PECOS Enrolled
355 W. 15TH ST., INDIANAPOLIS, IN 46202(317) 274-2334 Get Directions Write a Review

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

Record update history: Apr 13, 2026, May 6, 2021 (2 updates tracked since 2021).

About Jeeva Jagabandhu NPPES

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

JEEVA JAGABANDHU (NPI 1407430507) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407430507
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEEVA JAGABANDHU
Location Address355 W. 15TH ST.Indianapolis, IN 46202
Mailing Address355 W. 15th St.Indianapolis, IN 46202 · (317) 274-2334
Phone(317) 274-2334
Sole ProprietorNo
Enumeration DateMay 6, 2021
Last NPPES UpdateApril 13, 20262 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1407430507 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.
355 W. 15TH ST., Indianapolis, IN 46202
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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)

Jeeva Jagabandhu 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.

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 Jeeva Jagabandhu's NPI number?

The NPI number for Jeeva Jagabandhu is 1407430507. It was assigned to this individual provider in the NPPES registry on May 6, 2021.

Where is Jeeva Jagabandhu located?

Jeeva Jagabandhu practices at 355 W. 15th St., Indianapolis, IN 46202. The listed phone number is (317) 274-2334.

What is Jeeva Jagabandhu's specialty?

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

Is Jeeva Jagabandhu enrolled in Medicare?

Yes. Jeeva Jagabandhu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeeva Jagabandhu was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.