SRIVARSHINI MADDUKURI
NPI 1689566556
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is Srivarshini Maddukuri's NPI number?

The NPI number for Srivarshini Maddukuri is 1689566556. It was assigned to this individual provider in the NPPES registry on July 16, 2025.

Q: What is Srivarshini Maddukuri'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 July 16, 2025PECOS Enrolled

5800 RIDGE AVE, PHILADELPHIA, PA 19128(215) 487-4284 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Srivarshini Maddukuri NPPES

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

SRIVARSHINI MADDUKURI (NPI 1689566556) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689566556

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSRIVARSHINI MADDUKURI

Location Address5800 RIDGE AVEPhiladelphia, PA 19128

Mailing Address5800 Ridge AvePhiladelphia, PA 19128 · (215) 487-4284

Phone(215) 487-4284

Sole ProprietorNo

Enumeration DateJuly 16, 2025

NPPES CertifiedJuly 1, 2025

✔ NPI 1689566556 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.

5800 RIDGE AVE, Philadelphia, PA 19128

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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)

Srivarshini Maddukuri 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.

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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.

SOLIS PHYSICIANS NETWORK

Psychiatry & Neurology (Neurology)