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VIVEK RAO SUDHAKAR MD
NPI 1790363521
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since April 01, 2021PECOS Enrolled
1365 CLIFTON RD NE STE B6200, ATLANTA, GA 30322(404) 778-5000 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Vivek Rao Sudhakar Md NPPES

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

VIVEK RAO SUDHAKAR MD (NPI 1790363521) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790363521
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameVIVEK RAO SUDHAKARCredential: MD
Location Address1365 CLIFTON RD NE STE B6200Atlanta, GA 30322-1013
Mailing Address1365 Clifton Rd Ne Ste B6200Atlanta, GA 30322-1013
Phone(404) 778-5000
Sole ProprietorNo
Enumeration DateApril 1, 2021
NPPES CertifiedApril 1, 2021
✔ NPI 1790363521 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.
1365 CLIFTON RD NE STE B6200, Atlanta, GA 30322
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vivek Rao Sudhakar 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.

REDA MOHAMAD CHALHOUB
Student in an Organized Health Care Education/Training Program
1365 CLIFTON RD NE STE B6200
ATLANTA, GA 30322
Dekalb County (843) 345-6889
SOPHIE LORETTA SHOGREN MD
Psychiatry & Neurology (Neurocritical Care)
1365 CLIFTON RD NE STE B6200
ATLANTA, GA 30322
Dekalb County (404) 778-5000

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 Vivek Sudhakar's NPI number?

The NPI number for Vivek Sudhakar is 1790363521. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Vivek Sudhakar located?

Vivek Sudhakar practices at 1365 Clifton Rd NE Ste B6200, Atlanta, GA 30322. The listed phone number is (404) 778-5000.

What is Vivek Sudhakar's specialty?

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

Is Vivek Sudhakar enrolled in Medicare?

Yes. Vivek Sudhakar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vivek Sudhakar was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.