DR. HIMABINDU SREENIVASULU MD
NPI 1477435725
Student in an Organized Health Care Education/Training Program in Jackson, MI

Q: What is Himabindu Sreenivasulu's NPI number?

The NPI number for Himabindu Sreenivasulu is 1477435725. It was assigned to this individual provider in the NPPES registry on July 25, 2025.

Q: What is Himabindu Sreenivasulu's specialty?

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

Active since July 25, 2025PECOS Enrolled

205 N EAST AVE, JACKSON, MI 49201(517) 206-6735 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Himabindu Sreenivasulu Md NPPES

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

DR. HIMABINDU SREENIVASULU MD (NPI 1477435725) is an individual student in an organized health care education/training program in Jackson, Michigan, licensed in Michigan (4351054289) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477435725

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. HIMABINDU SREENIVASULUCredential: MD

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing Address205 N East AveJackson, MI 49201-1753 · (517) 206-6735

Phone(517) 206-6735

Sole ProprietorYes

Enumeration DateJuly 25, 2025

NPPES CertifiedJuly 25, 2025

✔ NPI 1477435725 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

License✔ Licensed in MI · 4351054289

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.

205 N EAST AVE, Jackson, MI 49201

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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)

Dr. Himabindu Sreenivasulu 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.

SAMANTHA RENE DANEK PA-C

Physician Assistant