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MISS VAIDARSHI ABBAGONI MD
NPI 1871237495
Student in an Organized Health Care Education/Training Program in Bridgeport, CT

Active since April 21, 2022PECOS Enrolled
2800 MAIN STREET, DEPT OF MEDICINE, BRIDGEPORT, CT 06606(475) 210-5425(475) 210-5022 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2025, Jan 24, 2023, Apr 21, 2022 (3 updates tracked since 2022).

About Miss Vaidarshi Abbagoni Md NPPES

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

MISS VAIDARSHI ABBAGONI MD (NPI 1871237495) is an individual student in an organized health care education/training program in Bridgeport, Connecticut and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1871237495
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMISS VAIDARSHI ABBAGONICredential: MD
Location Address2800 MAIN STREET, DEPT OF MEDICINEBridgeport, CT 06606
Mailing Address2800 Main Street, Dept Of MedicineBridgeport, CT 06606 · (475) 210-5425 · Fax (475) 210-5022
Phone(475) 210-5425
Fax(475) 210-5022
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 21, 2022
Last NPPES UpdateJanuary 24, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2023
✔ NPI 1871237495 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.
2800 MAIN STREET, Bridgeport, CT 06606
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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)

Miss Vaidarshi Abbagoni Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113431701
PECOS Enrollment IDI20250927000355
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.

PRIYANSHI ASHOKBHAI JOSHI MBBS
Student in an Organized Health Care Education/Training Program
2800 MAIN STREET
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 576-6000
KELLY TAKACS
Nurse Anesthetist, Certified Registered
2800 MAIN STREET, SAINT VINCENTS MEDICAL CENTER
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 929-7353
MUHAMMAD HAMZA AKHTAR MD
Student in an Organized Health Care Education/Training Program
2800 MAIN STREET, DEPT OF MEDICINE
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (475) 210-5425
NIKITHA KARKALA
Student in an Organized Health Care Education/Training Program
2800 MAIN STREET, DEPARTMENT OF MEDICINE
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (475) 210-5791
MS. KRISHNA SINGH M.B.B.S
Student in an Organized Health Care Education/Training Program
2800 MAIN STREET, DEPARTMENT OF MEDICAL EDUCATION
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (475) 210-5425
MR. PHENYO VICTOR PHUU M.D.
Student in an Organized Health Care Education/Training Program
2800 MAIN STREET, DEPARTMENT OF MEDICAL EDUCATION
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (475) 210-5440
MR. MAHEEP CHOWDARY ACHANTA MBBS
Student in an Organized Health Care Education/Training Program
2800 MAIN STREET, DEPARTMENT OF MEDICAL EDUCATION
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (475) 210-4930
RAVINDERJEET KAUR PUAR M.B.B.S.
Student in an Organized Health Care Education/Training Program
2800 MAIN STREET, DEPARTMENT OF MEDICAL EDUCATION
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (475) 210-5440

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 Vaidarshi Abbagoni's NPI number?

The NPI number for Vaidarshi Abbagoni is 1871237495. It was assigned to this individual provider in the NPPES registry on April 21, 2022.

Where is Vaidarshi Abbagoni located?

Vaidarshi Abbagoni practices at 2800 Main Street Dept Of Medicine, Bridgeport, CT 06606. The listed phone number is (475) 210-5425.

What is Vaidarshi Abbagoni's specialty?

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

Is Vaidarshi Abbagoni enrolled in Medicare?

Yes. Vaidarshi Abbagoni is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vaidarshi Abbagoni was last updated on January 24, 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.