CHETAN KUMAR NANJEGOWDA M.D
NPI 1609309863
Student in an Organized Health Care Education/Training Program in Miami, FL
About Chetan Kumar Nanjegowda M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHETAN KUMAR NANJEGOWDA M.D (NPI 1609309863) is an individual student in an organized health care education/training program in Miami, Florida and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chetan Kumar Nanjegowda M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Chetan Kumar Nanjegowda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lubbock, TX 79430
- Reassigned Medicare billing, Texas enrollment
- 685 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
MIAMI, FL 33136
MIAMI, FL 33136
MIAMI, FL 33136
MIAMI, FL 33136
MIAMI, FL 33136
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 Chetan Kumar Nanjegowda's NPI number?
The NPI number for Chetan Kumar Nanjegowda is 1609309863. It was assigned to this individual provider in the NPPES registry on April 5, 2017.
Where is Chetan Kumar Nanjegowda located?
Chetan Kumar Nanjegowda practices at 1611 NW 12 Avenue, Miami, FL 33136. The listed phone number is (305) 585-6042.
What is Chetan Kumar Nanjegowda's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Chetan Kumar Nanjegowda enrolled in Medicare?
Yes. Chetan Kumar Nanjegowda is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Chetan Kumar Nanjegowda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chetan Kumar Nanjegowda reassigns Medicare benefits to Texas Tech University Health Sciences Center Lubbock (Lubbock, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chetan Kumar Nanjegowda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Chetan Kumar Nanjegowda accept?
Health plans from Blue Cross and Blue Shield of Texas and Cigna Healthcare list Chetan Kumar Nanjegowda as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Chetan Kumar Nanjegowda was last updated on November 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Chetan Kumar Nanjegowda, M.D · NPI 1609309863
Student in an Organized Health Care Education/Training Program provider in Miami, Florida. Individual provider, active in the CMS NPPES registry since April 5, 2017.
## Identity
- **NPI:** 1609309863 (Entity type: Individual)
- **Enumerated:** April 5, 2017
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1611 NW 12 AVENUE, Miami, FL 33136
- **Phone:** (305) 585-6042 · **Fax:** (305) 545-6018
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Texas Tech University Health Sciences Center Lubbock (NPI 1063461358, Lubbock, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** November 26, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1609309863) · Data from the CMS NPPES public registry.