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ROOHALI SUKHAVASI MD
NPI 1700632163
Student in an Organized Health Care Education/Training Program in Wpafb, OH

Active since April 26, 2024PECOS Enrolled
4881 SUGAR MAPLE DR, WPAFB, OH 45433(937) 257-9926 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2026, Nov 12, 2025, Nov 14, 2024 and 1 more (4 updates tracked since 2024).

About Roohali Sukhavasi Md NPPES

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

ROOHALI SUKHAVASI MD (NPI 1700632163) is an individual student in an organized health care education/training program in Wpafb, Ohio and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700632163
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameROOHALI SUKHAVASICredential: MD
Location Address4881 SUGAR MAPLE DRWpafb, OH 45433-5529
Mailing Address4881 Sugar Maple DrWpafb, OH 45433-5529 · (937) 257-9926
Phone(937) 257-9926
Sole ProprietorNo
Enumeration DateApril 26, 2024
Last NPPES UpdateMay 1, 20264 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
✔ NPI 1700632163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 35.155464 (OH)
4881 SUGAR MAPLE DR, Wpafb, OH 45433
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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)

Roohali Sukhavasi 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.

MR. JAMES REBELLO III
Pharmacist
4881 SUGAR MAPLE DR
FAIRBORN, OH 45433
Greene County (937) 257-9014
CARLA HUELSKAMP PHARMD
Pharmacist
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9696
JOHN ALAN ARTHUR
Internal Medicine
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-4482
ALEXIS D OWEN
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-1574
GREGORY JAMES MORSE M.D.
Radiology (Nuclear Radiology)
4881 SUGAR MAPLE DR, 88 DTS/SGQX
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-9679
KENDRA M. SCHMUCK RD LD
Dietitian, Registered
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-8815
MATTHEW PHILIP SCULLY IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (616) 717-0169
KAREN LEWIS RTT
Radiologic Technologist (Radiation Therapy)
4881 SUGAR MAPLE DR, 88TH MDOS/SGOMR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-4159

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 Roohali Sukhavasi's NPI number?

The NPI number for Roohali Sukhavasi is 1700632163. It was assigned to this individual provider in the NPPES registry on April 26, 2024.

Where is Roohali Sukhavasi located?

Roohali Sukhavasi practices at 4881 Sugar Maple Dr, Wpafb, OH 45433. The listed phone number is (937) 257-9926.

What is Roohali Sukhavasi's specialty?

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

Is Roohali Sukhavasi enrolled in Medicare?

Yes. Roohali Sukhavasi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roohali Sukhavasi was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.