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VIDYA KARTHINI BOLLAVARAM M.D.
NPI 1942944467
Student in an Organized Health Care Education/Training Program in Danville, PA

Active since April 21, 2022PECOS Enrolled
100 NORTH ACADEMY AVENUE, DANVILLE PA, DANVILLE, PA 17822(570) 271-6787 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2023, Apr 21, 2022 (2 updates tracked since 2022).

About Vidya Karthini Bollavaram M.d. NPPES

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

VIDYA KARTHINI BOLLAVARAM M.D. (NPI 1942944467) is an individual student in an organized health care education/training program in Danville, Pennsylvania and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942944467
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameVIDYA KARTHINI BOLLAVARAMCredential: M.D.
Location Address100 NORTH ACADEMY AVENUE, DANVILLE PADanville, PA 17822
Mailing Address100 North Academy Avenue, Danville PaDanville, PA 17822 · (570) 271-6787
Phone(570) 271-6787
Sole ProprietorNo
Enumeration DateApril 21, 2022
Last NPPES UpdateJanuary 25, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2023
✔ NPI 1942944467 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.
100 NORTH ACADEMY AVENUE, Danville, PA 17822
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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)

Vidya Karthini Bollavaram M.d. 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.

DR. ANDREA SEELEY M.D.
Pediatrics
100 NORTH ACADEMY AVENUE
DANVILLE, PA 17822
Montour County (570) 271-6440
DR. CATHERINE T SHOFF D.O.
Internal Medicine (Critical Care Medicine)
100 NORTH ACADEMY AVENUE
DANVILLE, PA 17822
Montour County (570) 271-6655
MS. JAMIE L SEILER PA-C
Physician Assistant
100 NORTH ACADEMY AVENUE
DANVILLE, PA 17822
Montour County (570) 271-6439
CHELSEA ANN OBOURN M.D.
Student in an Organized Health Care Education/Training Program
100 NORTH ACADEMY AVENUE, GEISINGER MEDICAL CENTER
DANVILLE, PA 17822
Montour County (570) 271-6211
MR. ASIM AHMAD KHAN M.D.
Student in an Organized Health Care Education/Training Program
100 NORTH ACADEMY AVENUE
DANVILLE, PA 17822
Montour County (570) 271-6775
GINO MONGELLUZZO M.D.
Radiology (Neuroradiology)
100 NORTH ACADEMY AVENUE
DANVILLE, PA 17822
Montour County (570) 271-6301
DR. VANDAN SHAH M.D.
Student in an Organized Health Care Education/Training Program
100 NORTH ACADEMY AVENUE
DANVILLE, PA 17822
Montour County (570) 271-6211
GEISINGER MEDICAL CENTER
General Acute Care Hospital
100 NORTH ACADEMY AVENUE
DANVILLE, PA 17822
Montour County (570) 574-6224

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 Vidya Bollavaram's NPI number?

The NPI number for Vidya Bollavaram is 1942944467. It was assigned to this individual provider in the NPPES registry on April 21, 2022.

Where is Vidya Bollavaram located?

Vidya Bollavaram practices at 100 North Academy Avenue Danville PA, Danville, PA 17822. The listed phone number is (570) 271-6787.

What is Vidya Bollavaram's specialty?

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

Is Vidya Bollavaram enrolled in Medicare?

Yes. Vidya Bollavaram is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vidya Bollavaram was last updated on January 25, 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.