NANDITHA GURUVAIAH SRIDHARA MD
NPI 1417635566
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since July 10, 2023PECOS Enrolled
ONE MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157(336) 758-5000 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 22, 2024, Jul 10, 2023 (2 updates tracked since 2023).

About Nanditha Guruvaiah Sridhara Md NPPES

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

NANDITHA GURUVAIAH SRIDHARA MD (NPI 1417635566) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417635566
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNANDITHA GURUVAIAH SRIDHARACredential: MD
Location AddressONE MEDICAL CENTER BOULEVARDWinston Salem, NC 27157-0001
Mailing Address1 Medical Center BlvdWinston Salem, NC 27157-0001
Sole ProprietorNo
Enumeration DateJuly 10, 2023
Last NPPES UpdateJuly 22, 20242 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
NPI 1417635566 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.

ONE MEDICAL CENTER BOULEVARD, Winston Salem, NC 27157

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nanditha Guruvaiah Sridhara 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 10

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

Student in an Organized Health Care Education/Training Program
ONE MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
ONE MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
ONE MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
ONE MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Anesthesiology
ONE MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
ONE MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
ONE MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
ONE MEDICAL CENTER BOULEVARD, ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER
WINSTON-SALEM, NC 27157

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417635566, enumerated as an "individual" on July 10, 2023.

The provider is located at ONE MEDICAL CENTER BOULEVARD WINSTON SALEM, NC 27157 and the phone number is (336) 758-5000.

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