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NIKITA RAJAN REVANKAR
NPI 1417701681
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since April 15, 2024PECOS Enrolled
ONE MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-2011(336) 716-5168 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nikita Rajan Revankar NPPES

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

NIKITA RAJAN REVANKAR (NPI 1417701681) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417701681
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNIKITA RAJAN REVANKAR
Location AddressONE MEDICAL CENTER BLVDWinston Salem, NC 27157-0001
Mailing AddressOne Medical Center BlvdWinston Salem, NC 27157-0001
Phone(336) 716-2011
Fax(336) 716-5168
Sole ProprietorNo
Enumeration DateApril 15, 2024
Last NPPES UpdateApril 16, 2024
NPPES CertifiedApril 16, 2024
✔ NPI 1417701681 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.
ONE MEDICAL CENTER BLVD, Winston Salem, NC 27157
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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)

Nikita Rajan Revankar 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.

ANNA LARUSSA MD
Student in an Organized Health Care Education/Training Program
ONE MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (855) 799-0044
DR. JARED JOSEPH TUTTLE MD
Student in an Organized Health Care Education/Training Program
ONE MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4091
CESAR ANDRES URIZAR-GONZALEZ MD
Student in an Organized Health Care Education/Training Program
ONE MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 713-7527
HOLDEN BRADLY LEWIS
Student in an Organized Health Care Education/Training Program
ONE MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-7580
HONGSHENG LU MD
Student in an Organized Health Care Education/Training Program
ONE MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 713-7527
RAED WALEED ALI ALKHADDASH
Student in an Organized Health Care Education/Training Program
ONE MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-7548
PEMBROKE NASH III
Student in an Organized Health Care Education/Training Program
ONE MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2011
IAN ALASDAIR SEDDON DO
Student in an Organized Health Care Education/Training Program
ONE MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4490

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 Nikita Revankar's NPI number?

The NPI number for Nikita Revankar is 1417701681. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Nikita Revankar located?

Nikita Revankar practices at One Medical Center Blvd, Winston Salem, NC 27157. The listed phone number is (336) 716-2011.

What is Nikita Revankar's specialty?

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

Is Nikita Revankar enrolled in Medicare?

Yes. Nikita Revankar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nikita Revankar was last updated on April 16, 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.