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SAI KARTHIK KOMMINENI MBBS
NPI 1750905642
Student in an Organized Health Care Education/Training Program in Johnson City, TN

Active since June 05, 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: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2022, Jun 5, 2020 (2 updates tracked since 2020).

About Sai Karthik Kommineni Mbbs NPPES

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

SAI KARTHIK KOMMINENI MBBS (NPI 1750905642) is an individual student in an organized health care education/training program in Johnson City, Tennessee and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1750905642
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAI KARTHIK KOMMINENICredential: MBBS
Location Address325 N STATE OF FRANKLIN ROADJohnson City, TN 37604-6056
Mailing Address325 N State Of Franklin RoadJohnson City, TN 37604-6056 · (423) 439-6283 · Fax (423) 439-6386
Phone(423) 439-6283
Fax(423) 439-6386
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 5, 2020
Last NPPES UpdateJuly 25, 20222 updates tracked since enumeration
NPPES CertifiedJuly 25, 2022
✔ NPI 1750905642 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 ↗

Secondary Practice Locations 4

Location 11901 S Shady St Ste 1Mountain City, TN 37683-2021 · Phone (423) 727-1103
Location 21410 Tusculum Blvd Ste 1500Greeneville, TN 37745-5810 · Phone (423) 638-2270
Location 31410 Tusculum Blvd Ste 1200Greeneville, TN 37745-5815 · Phone (423) 787-7280
Location 4325 N State of Franklin RoadJohnson City, TN 37604-6056 · Phone (423) 439-6283 · Fax (423) 439-6386

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sai Karthik Kommineni Mbbs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739651563
PECOS Enrollment IDI20260612001621
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

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

THARUN BANDARUPALLI MD
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN ROAD
JOHNSON CITY, TN 37604
Washington County (423) 439-6283

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 Sai Karthik Kommineni's NPI number?

The NPI number for Sai Karthik Kommineni is 1750905642. It was assigned to this individual provider in the NPPES registry on June 5, 2020.

Where is Sai Karthik Kommineni located?

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

What is Sai Karthik Kommineni's specialty?

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

Is Sai Karthik Kommineni enrolled in Medicare?

Yes. Sai Karthik Kommineni is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sai Karthik Kommineni was last updated on July 25, 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.