ADITYA NITIN THAKKAR MD
NPI 1770213506
Student in an Organized Health Care Education/Training Program in Johnson City, TN

Q: What is Aditya Thakkar's NPI number?

The NPI number for Aditya Thakkar is 1770213506. It was assigned to this individual provider in the NPPES registry on June 14, 2022.

Q: What is Aditya Thakkar's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Aditya Thakkar was last updated on June 14, 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.

Active since June 14, 2022PECOS Enrolled

325 N STATE OF FRANKLIN RD FL 1, JOHNSON CITY, TN 37604(423) 439-7280(423) 439-7314 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Aditya Nitin Thakkar Md NPPES

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

ADITYA NITIN THAKKAR MD (NPI 1770213506) is an individual student in an organized health care education/training program in Johnson City, Tennessee and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770213506

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameADITYA NITIN THAKKARCredential: MD

Location Address325 N STATE OF FRANKLIN RD FL 1Johnson City, TN 37604-6056

Mailing Address325 N State Of Franklin Rd Fl 1Johnson City, TN 37604-6056 · (423) 439-7280 · Fax (423) 439-7314

Phone(423) 439-7280

Fax(423) 439-7314

Sole ProprietorNo

Enumeration DateJune 14, 2022

NPPES CertifiedJune 14, 2022

✔ NPI 1770213506 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 RD FL 1, 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)

Aditya Nitin Thakkar 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.

MARTIN E. OLSEN M.D.

Obstetrics & Gynecology