ISHWARYA SHRADHA MAMIDI
NPI 1871172742
Student in an Organized Health Care Education/Training Program in New Orleans, LA
About Ishwarya Shradha Mamidi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ISHWARYA SHRADHA MAMIDI (NPI 1871172742) is an individual student in an organized health care education/training program in New Orleans, Louisiana and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Our Lady Of The Lake Regional Medical Center, and is a graduate of George Washington University School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ishwarya Shradha Mamidi is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Ishwarya Mamidi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Englewood, NJ 07631
- Reassigned Medicare billing, New Jersey enrollment
- 10 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Our Lady Of The Lake Regional Medical Center
Acute Care Hospitals · Baton Rouge, LAOther Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW ORLEANS, LA 70112
NEW ORLEANS, LA 70112
NEW ORLEANS, LA 70112
NEW ORLEANS, LA 70112
NEW ORLEANS, LA 70112
NEW ORLEANS, LA 70112
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 Ishwarya Mamidi's NPI number?
The NPI number for Ishwarya Mamidi is 1871172742. It was assigned to this individual provider in the NPPES registry on April 6, 2021.
Where is Ishwarya Mamidi located?
Ishwarya Mamidi practices at 533 Bolivar St Ste 566, New Orleans, LA 70112. The listed phone number is (908) 745-1253.
What is Ishwarya Mamidi's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Ishwarya Mamidi enrolled in Medicare?
Yes. Ishwarya Mamidi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Ishwarya Mamidi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ishwarya Mamidi reassigns Medicare benefits to Englewood Ear Nose & Throat PC (Englewood, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ishwarya Mamidi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ishwarya Mamidi affiliated with any hospitals?
According to CMS data, Ishwarya Mamidi is affiliated with Our Lady Of The Lake Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Ishwarya Mamidi was last updated on April 6, 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.
# Ishwarya Shradha Mamidi · NPI 1871172742
Student in an Organized Health Care Education/Training Program provider in New Orleans, Louisiana. Individual provider, active in the CMS NPPES registry since April 6, 2021.
## Identity
- **NPI:** 1871172742 (Entity type: Individual)
- **Enumerated:** April 6, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 533 BOLIVAR ST STE 566, New Orleans, LA 70112-1349
- **Phone:** (908) 745-1253
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Englewood Ear Nose & Throat PC (NPI 1922208875, Englewood, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** George Washington University School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** April 6, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1871172742) · Data from the CMS NPPES public registry.