PRANAV YANAMBAKKAM
NPI 1942143680
Student in an Organized Health Care Education/Training Program in Wilkes Barre, PA

Q: What is Pranav Yanambakkam's NPI number?

The NPI number for Pranav Yanambakkam is 1942143680. It was assigned to this individual provider in the NPPES registry on April 9, 2026.

Q: What is Pranav Yanambakkam's specialty?

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

Active since April 09, 2026PECOS Enrolled

1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711(570) 808-2340(570) 808-7904 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2026, Apr 9, 2026 (2 updates tracked since 2026).

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About Pranav Yanambakkam NPPES

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

PRANAV YANAMBAKKAM (NPI 1942143680) is an individual student in an organized health care education/training program in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (OT025190) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942143680

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NamePRANAV YANAMBAKKAM

Location Address1000 E MOUNTAIN BLVDWilkes Barre, PA 18711-0027

Mailing Address1000 E Mountain BlvdWilkes Barre, PA 18711-0027 · (570) 808-2340 · Fax (570) 808-7904

Phone(570) 808-2340

Fax(570) 808-7904

Sole ProprietorNo

Enumeration DateApril 9, 2026

Last NPPES UpdateApril 29, 20262 updates tracked since enumeration

NPPES CertifiedApril 29, 2026

✔ NPI 1942143680 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

License✔ Licensed in PA · OT025190

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.

1000 E MOUNTAIN BLVD, Wilkes Barre, PA 18711

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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)

Pranav Yanambakkam 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.

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