NIKHIL YEDULLA
NPI 1730837402
Student in an Organized Health Care Education/Training Program in Rochester Hills, MI

Active since March 12, 2022PECOS Enrolled
3479 LINCOLNSHIRE CT, ROCHESTER HILLS, MI 48309(248) 269-3018 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2026, Mar 12, 2022 (2 updates tracked since 2022).

About Nikhil Yedulla NPPES

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

NIKHIL YEDULLA (NPI 1730837402) is an individual student in an organized health care education/training program in Rochester Hills, Michigan, licensed in Illinois (125.087726) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730837402
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNIKHIL YEDULLA
Location Address3479 LINCOLNSHIRE CTRochester Hills, MI 48309-4526
Mailing Address540 E Canfield StDetroit, MI 48201-1928 · (248) 269-3018
Sole ProprietorYes
Enumeration DateMarch 12, 2022
Last NPPES UpdateMay 19, 20262 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
NPI 1730837402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in IL · 125.087726
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.
3479 LINCOLNSHIRE CT, Rochester Hills, MI 48309

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nikhil Yedulla 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.

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 Nikhil Yedulla's NPI number?

The NPI number for Nikhil Yedulla is 1730837402. It was assigned to this individual provider in the NPPES registry on March 12, 2022.

Where is Nikhil Yedulla located?

Nikhil Yedulla practices at 3479 Lincolnshire Ct, Rochester Hills, MI 48309. The listed phone number is (248) 269-3018.

What is Nikhil Yedulla's specialty?

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

Is Nikhil Yedulla enrolled in Medicare?

Yes. Nikhil Yedulla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nikhil Yedulla was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.