SHANMUKHA SWETHA PERABATTULA MD
NPI 1730718958
Student in an Organized Health Care Education/Training Program in Watertown, NY

Q: What is Shanmukha Swetha Perabattula's NPI number?

The NPI number for Shanmukha Swetha Perabattula is 1730718958. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Q: What is Shanmukha Swetha Perabattula'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 April 08, 2020PECOS Enrolled

830 WASHINGTON ST, WATERTOWN, NY 13601(315) 786-7300(315) 786-7310 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Shanmukha Swetha Perabattula Md NPPES

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

SHANMUKHA SWETHA PERABATTULA MD (NPI 1730718958) is an individual student in an organized health care education/training program in Watertown, New York and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730718958

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSHANMUKHA SWETHA PERABATTULACredential: MD

Location Address830 WASHINGTON STWatertown, NY 13601-4099

Mailing Address830 Washington StWatertown, NY 13601-4099 · (315) 786-7300 · Fax (315) 786-7310

Phone(315) 786-7300

Fax(315) 786-7310

Sole ProprietorNo

Enumeration DateApril 8, 2020

NPPES CertifiedApril 8, 2020

✔ NPI 1730718958 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.

830 WASHINGTON ST, Watertown, NY 13601

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)

Shanmukha Swetha Perabattula 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.

JIN JU YI

Student in an Organized Health Care Education/Training Program