AJAY PRABHU
NPI 1962242032
Student in an Organized Health Care Education/Training Program in Tyler, TX
About Ajay Prabhu NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AJAY PRABHU (NPI 1962242032) is an individual student in an organized health care education/training program in Tyler, Texas, licensed in Texas (BP10090383) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ajay Prabhu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TYLER, TX 75708
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 Ajay Prabhu's NPI number?
The NPI number for Ajay Prabhu is 1962242032. It was assigned to this individual provider in the NPPES registry on May 28, 2024.
Where is Ajay Prabhu located?
Ajay Prabhu practices at 11937 Hwy 271, Tyler, TX 75708. The listed phone number is (903) 877-7253.
What is Ajay Prabhu's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Ajay Prabhu enrolled in Medicare?
Yes. Ajay Prabhu is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ajay Prabhu was last updated on June 5, 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.
# Ajay Prabhu · NPI 1962242032
Student in an Organized Health Care Education/Training Program provider in Tyler, Texas. Individual provider, active in the CMS NPPES registry since May 28, 2024.
## Identity
- **NPI:** 1962242032 (Entity type: Individual)
- **Enumerated:** May 28, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** BP10090383 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 11937 HWY 271, Tyler, TX 75708-3154
- **Phone:** (903) 877-7253
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 5, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1962242032) · Data from the CMS NPPES public registry.