1. Home
  2. Directory
  3. Tennessee
  4. Johnson City
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

THARUN BANDARUPALLI MD
NPI 1720601289
Student in an Organized Health Care Education/Training Program in Johnson City, TN

Active since May 19, 2020PECOS Enrolled
325 N STATE OF FRANKLIN ROAD, JOHNSON CITY, TN 37604(423) 439-6283(423) 439-6386 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tharun Bandarupalli Md NPPES

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

THARUN BANDARUPALLI MD (NPI 1720601289) is an individual student in an organized health care education/training program in Johnson City, Tennessee and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720601289
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTHARUN BANDARUPALLICredential: MD
Location Address325 N STATE OF FRANKLIN ROADJohnson City, TN 37604-6066
Mailing Address451 N Pickens Bridge Rd, Apt 112Piney Flats, TN 37686 · (609) 455-3973 · Fax (423) 439-6386
Phone(423) 439-6283
Fax(423) 439-6386
Sole ProprietorNo
Enumeration DateMay 19, 2020
Last NPPES UpdateApril 20, 2023
NPPES CertifiedApril 20, 2023
✔ NPI 1720601289 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.
325 N STATE OF FRANKLIN ROAD, Johnson City, TN 37604
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tharun Bandarupalli 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAI KARTHIK KOMMINENI MBBS
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN ROAD
JOHNSON CITY, TN 37604
Washington County (423) 439-6283
SAURAV KHADKA MBBS
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN ROAD, 3RD FLOOR
JOHNSON CITY, TN 37604
Washington County (423) 439-7201

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 Tharun Bandarupalli's NPI number?

The NPI number for Tharun Bandarupalli is 1720601289. It was assigned to this individual provider in the NPPES registry on May 19, 2020.

Where is Tharun Bandarupalli located?

Tharun Bandarupalli practices at 325 N State Of Franklin Road, Johnson City, TN 37604. The listed phone number is (423) 439-6283.

What is Tharun Bandarupalli's specialty?

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

Is Tharun Bandarupalli enrolled in Medicare?

Yes. Tharun Bandarupalli is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tharun Bandarupalli was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.