SAMADHI UPEKA KIRIDENA MD
NPI 1831888643
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Samadhi Kiridena's NPI number?

The NPI number for Samadhi Kiridena is 1831888643. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Q: What is Samadhi Kiridena'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 Samadhi Kiridena was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 08, 2023PECOS Enrolled

3990 JOHN R ST, DETROIT, MI 48201(313) 993-4030 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Samadhi Upeka Kiridena Md NPPES

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

SAMADHI UPEKA KIRIDENA MD (NPI 1831888643) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831888643

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSAMADHI UPEKA KIRIDENACredential: MD

Location Address3990 JOHN R STDetroit, MI 48201-2018

Mailing Address2822 Chaseway DrAnn Arbor, MI 48105-9445

Phone(313) 993-4030

Sole ProprietorNo

Enumeration DateMay 8, 2023

NPPES CertifiedMay 8, 2023

✔ NPI 1831888643 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.

3990 JOHN R ST, Detroit, MI 48201

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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)

Samadhi Upeka Kiridena 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.

KIMBERLY DAWN HARRIS CRNA

Nurse Anesthetist, Certified Registered