KELLY PANNIKODU MD
NPI 1710627385
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Active since March 31, 2022PECOS EnrolledAccepts Medicare Assignment
18101 LORAIN AVE, CLEVELAND, OH 44111(216) 476-7000 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Pannikodu Md NPPES

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

KELLY PANNIKODU MD (NPI 1710627385) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1710627385
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY PANNIKODUCredential: MD
Location Address18101 LORAIN AVECleveland, OH 44111-5612
Mailing Address18101 Lorain AveCleveland, OH 44111-5612 · (216) 476-7000
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
NPI 1710627385 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.
18101 LORAIN AVE, Cleveland, OH 44111

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

Kelly Pannikodu Md 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 ID749668960
PECOS Enrollment IDI20251029000603
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

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.

Student in an Organized Health Care Education/Training Program
18101 LORAIN AVE
CLEVELAND, OH 44111
Nurse Practitioner (Family)
18101 LORAIN AVE
CLEVELAND, OH 44111
Pharmacy (Clinic Pharmacy)
18101 LORAIN AVE
CLEVELAND, OH 44111
Social Worker (Clinical)
18101 LORAIN AVE
CLEVELAND, OH 44111
Physician Assistant
18101 LORAIN AVE
CLEVELAND, OH 44111
Psychiatry & Neurology (Neurology)
18101 LORAIN AVE
CLEVELAND, OH 44111
Student in an Organized Health Care Education/Training Program
18101 LORAIN AVE
CLEVELAND, OH 44111
Emergency Medicine
18101 LORAIN AVE
CLEVELAND, OH 44111

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 Kelly Pannikodu's NPI number?

The NPI number for Kelly Pannikodu is 1710627385. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Where is Kelly Pannikodu located?

Kelly Pannikodu practices at 18101 Lorain Ave, Cleveland, OH 44111. The listed phone number is (216) 476-7000.

What is Kelly Pannikodu's specialty?

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

Is Kelly Pannikodu enrolled in Medicare?

Yes. Kelly Pannikodu 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.

Is Kelly Pannikodu affiliated with any hospitals?

According to CMS data, Kelly Pannikodu is affiliated with Southcoast Hospitals Group.

When was this NPI record last updated?

The NPPES record for Kelly Pannikodu was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.