DEEPAK DEV VIVEKANANDAN MD
NPI 1609484872
Student in an Organized Health Care Education/Training Program in Gainesville, GA

Active since July 14, 2020PECOS Enrolled
743 SPRING ST NE STE 710, GAINESVILLE, GA 30501(770) 219-9000 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 23, 2021, Jul 14, 2020 (2 updates tracked since 2020).

About Deepak Dev Vivekanandan Md NPPES

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

DEEPAK DEV VIVEKANANDAN MD (NPI 1609484872) is an individual student in an organized health care education/training program in Gainesville, Georgia and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609484872
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEEPAK DEV VIVEKANANDANCredential: MD
Location Address743 SPRING ST NE STE 710Gainesville, GA 30501-3715
Mailing Address743 Spring St Ne Ste 710Gainesville, GA 30501-3715 · (770) 219-8730
Sole ProprietorNo
Enumeration DateJuly 14, 2020
Last NPPES UpdateJune 27, 20232 updates tracked since enumeration
NPPES CertifiedJune 27, 2023
NPI 1609484872 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.
743 SPRING ST NE STE 710, Gainesville, GA 30501

Other Identifiers 1

Other13-3971298Employer

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Deepak Dev Vivekanandan 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.

Internal Medicine
743 SPRING ST NE STE 710
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE STE 710
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE STE 710
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE STE 710
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE STE 710
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE STE 710
GAINESVILLE, GA 30501
Family Medicine
743 SPRING ST NE STE 710
GAINESVILLE, GA 30501
Student in an Organized Health Care Education/Training Program
743 SPRING ST NE STE 710
GAINESVILLE, GA 30501

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 Deepak Dev Vivekanandan's NPI number?

The NPI number for Deepak Dev Vivekanandan is 1609484872. It was assigned to this individual provider in the NPPES registry on July 14, 2020.

Where is Deepak Dev Vivekanandan located?

Deepak Dev Vivekanandan practices at 743 Spring St NE Ste 710, Gainesville, GA 30501. The listed phone number is (770) 219-9000.

What is Deepak Dev Vivekanandan's specialty?

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

Is Deepak Dev Vivekanandan enrolled in Medicare?

Yes. Deepak Dev Vivekanandan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Deepak Dev Vivekanandan was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.