PREETHIKA VENUGOPAL DO
NPI 1649857178
Student in an Organized Health Care Education/Training Program in Brick, NJ

Q: What is Preethika Venugopal's NPI number?

The NPI number for Preethika Venugopal is 1649857178. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Q: What is Preethika Venugopal'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 March 29, 2021PECOS EnrolledAccepts Medicare Assignment

425 JACK MARTIN BLVD, BRICK, NJ 08724(732) 840-2200 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Preethika Venugopal Do NPPES

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

PREETHIKA VENUGOPAL DO (NPI 1649857178) is an individual student in an organized health care education/training program in Brick, New Jersey and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1649857178

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NamePREETHIKA VENUGOPALCredential: DO

Location Address425 JACK MARTIN BLVDBrick, NJ 08724-7732

Mailing Address19037 Owen WayCerritos, CA 90703-7347 · (562) 650-8405

Phone(732) 840-2200

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 29, 2021

NPPES CertifiedMarch 29, 2021

✔ NPI 1649857178 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.

425 JACK MARTIN BLVD, Brick, NJ 08724

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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 and accepts Medicare assignment

Preethika Venugopal Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123492121

PECOS Enrollment IDI20251113002475

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.

MRS. DANIELLE JEANETTE HUTCHINS MS

Counselor (Mental Health)