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

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: November 01, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Preethika Venugopal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
2,422 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

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.

MRS. DANIELLE JEANETTE HUTCHINS MS
Counselor (Mental Health)
425 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 840-3380
DR. DOUGLAS ANDREW MILLER M.D.
Radiology (Radiation Oncology)
425 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 836-4109
DR. SHAWN KEATING
Internal Medicine
425 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 840-2200
DR. IBRAHIM ALNASER MD
Internal Medicine
425 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 840-2200
YOHANA REVELO-UMANA
Physician Assistant
425 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 840-2200
VEYOLA ROMANY REZKALLA
Student in an Organized Health Care Education/Training Program
425 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 840-2200
QKHANMD SERVICES LLC
Internal Medicine
425 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (848) 242-6303
ALLYN MCCARTHY NP
Nurse Practitioner (Family)
425 JACK MARTIN BLVD
BRICK, NJ 08724
Ocean County (732) 807-0877

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 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.

Where is Preethika Venugopal located?

Preethika Venugopal practices at 425 Jack Martin Blvd, Brick, NJ 08724. The listed phone number is (732) 840-2200.

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.

Is Preethika Venugopal enrolled in Medicare?

Yes. Preethika Venugopal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Preethika Venugopal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Preethika Venugopal reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). 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 Preethika Venugopal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Preethika Venugopal was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.