AMOGH JYOTINDRA KILLEDAR
NPI 1790544401
Student in an Organized Health Care Education/Training Program in Plantation, FL

Active since March 15, 2024PECOS Enrolled
8201 W BROWARD BLVD, PLANTATION, FL 33324(954) 547-3407 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Amogh Jyotindra Killedar NPPES

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

AMOGH JYOTINDRA KILLEDAR (NPI 1790544401) is an individual student in an organized health care education/training program in Plantation, Florida and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790544401
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameAMOGH JYOTINDRA KILLEDAR
Location Address8201 W BROWARD BLVDPlantation, FL 33324-2701
Mailing Address8201 W Broward BlvdPlantation, FL 33324-2701 · (954) 547-3407
Sole ProprietorNo
Enumeration DateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
NPI 1790544401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
8201 W BROWARD BLVD, Plantation, FL 33324

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amogh Jyotindra Killedar 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.

Radiology (Diagnostic Radiology)
8201 W BROWARD BLVD
PLANTATION, FL 33324
Internal Medicine
8201 W BROWARD BLVD
PLANTATION, FL 33324
Pathology (Anatomic Pathology & Clinical Pathology)
8201 W BROWARD BLVD, WESTSIDE REGIONAL MEDICAL CENTER PATHOLOGY DEPT
PLANTATION, FL 33324
Emergency Medicine
8201 W BROWARD BLVD
PLANTATION, FL 33324
Student in an Organized Health Care Education/Training Program
8201 W BROWARD BLVD
PLANTATION, FL 33324
Physician Assistant (Surgical)
8201 W BROWARD BLVD
PLANTATION, FL 33324
Specialist/Technologist, Other (Surgical Assistant)
8201 W BROWARD BLVD
PLANTATION, FL 33324
Emergency Medicine
8201 W BROWARD BLVD
PLANTATION, FL 33324

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 Amogh Killedar's NPI number?

The NPI number for Amogh Killedar is 1790544401. It was assigned to this individual provider in the NPPES registry on March 15, 2024.

Where is Amogh Killedar located?

Amogh Killedar practices at 8201 W Broward Blvd, Plantation, FL 33324. The listed phone number is (954) 547-3407.

What is Amogh Killedar's specialty?

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

Is Amogh Killedar enrolled in Medicare?

Yes. Amogh Killedar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amogh Killedar was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.