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PUSHPAK PONDUGULA
NPI 1528703386
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since May 04, 2022PECOS Enrolled
3737 MARKET STREET, 6TH FLOOR, PHILADELPHIA, PA 19104(215) 349-5890(215) 349-5890 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2024, Mar 22, 2023, May 4, 2022 (3 updates tracked since 2022).

About Pushpak Pondugula NPPES

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

PUSHPAK PONDUGULA (NPI 1528703386) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528703386
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePUSHPAK PONDUGULA
Location Address3737 MARKET STREET, 6TH FLOORPhiladelphia, PA 19104
Mailing Address3737 Market Street, 6th FloorPhiladelphia, PA 19104 · (215) 349-5890 · Fax (215) 349-5890
Phone(215) 349-5890
Fax(215) 349-5890
Sole ProprietorNo
Enumeration DateMay 4, 2022
Last NPPES UpdateSeptember 20, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1528703386 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.
3737 MARKET STREET, Philadelphia, PA 19104
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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)

Pushpak Pondugula 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.

SHAVON ROBIN TATUM RN, FNP-C
Nurse Practitioner
3737 MARKET STREET, 9TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8777
RACHEL DAYNO MD
Internal Medicine (Rheumatology)
3737 MARKET STREET, 8TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-4333
JORDAN ELIZABETH VITELLI PA-C
Physician Assistant
3737 MARKET STREET, 8TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3487
SARA JESSICA DOWNIE PA, MPH
Physician Assistant
3737 MARKET STREET, 4TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (856) 264-1549
RACHEL ELIZABETH KISHTON MD
Family Medicine
3737 MARKET STREET, 9TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8777
JULIA REGER CRNP
Nurse Practitioner (Gerontology)
3737 MARKET STREET, 8TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (484) 326-8511
DR. JACQUELINE DEANNA WILSON MD
Internal Medicine
3737 MARKET STREET, 9TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8777
DR. SAHBA OBOUDIYAT DO
Physical Medicine & Rehabilitation
3737 MARKET STREET, 8TH FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3340

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 Pushpak Pondugula's NPI number?

The NPI number for Pushpak Pondugula is 1528703386. It was assigned to this individual provider in the NPPES registry on May 4, 2022.

Where is Pushpak Pondugula located?

Pushpak Pondugula practices at 3737 Market Street 6th Floor, Philadelphia, PA 19104. The listed phone number is (215) 349-5890.

What is Pushpak Pondugula's specialty?

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

Is Pushpak Pondugula enrolled in Medicare?

Yes. Pushpak Pondugula is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pushpak Pondugula was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.