DR. RENUKA MAHATARA DO
NPI 1871352187
Student in an Organized Health Care Education/Training Program in North Charleston, SC

Active since March 18, 2024PECOS Enrolled
9330 MEDICAL PLAZA DR, NORTH CHARLESTON, SC 29406(843) 847-5621 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dr. Renuka Mahatara Do NPPES

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

DR. RENUKA MAHATARA DO (NPI 1871352187) is an individual student in an organized health care education/training program in North Charleston, South Carolina and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871352187
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. RENUKA MAHATARACredential: DO
Location Address9330 MEDICAL PLAZA DRNorth Charleston, SC 29406-9104
Mailing Address9330 Medical Plaza DrNorth Charleston, SC 29406-9104
Sole ProprietorNo
Enumeration DateMarch 18, 2024
NPPES CertifiedMarch 17, 2024
✔ NPI 1871352187 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.
9330 MEDICAL PLAZA DR, North Charleston, SC 29406

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Renuka Mahatara Do 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.

Nurse Practitioner (Acute Care)
9330 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406
Internal Medicine (Critical Care Medicine)
9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Emergency Medicine
9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Student in an Organized Health Care Education/Training Program
9330 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406
Surgery
9330 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406
Physical Therapist
9330 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406
Radiology (Radiation Oncology)
9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Student in an Organized Health Care Education/Training Program
9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406

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 Renuka Mahatara's NPI number?

The NPI number for Renuka Mahatara is 1871352187. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Renuka Mahatara located?

Renuka Mahatara practices at 9330 Medical Plaza Dr, North Charleston, SC 29406. The listed phone number is (843) 847-5621.

What is Renuka Mahatara's specialty?

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

Is Renuka Mahatara enrolled in Medicare?

Yes. Renuka Mahatara is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Renuka Mahatara was last updated on March 18, 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.