ABHINAY VENKATASHIVA KUSUMANCHI
NPI 1982407904
Student in an Organized Health Care Education/Training Program in Cincinnati, OH

Active since March 27, 2025PECOS Enrolled
3188 BELLEVUE AVE., ML 0781, CINCINNATI, OH 45219(513) 584-4505(513) 584-0468 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 26, 2025, Mar 28, 2025 (2 updates tracked since 2025).

About Abhinay Venkatashiva Kusumanchi NPPES

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

ABHINAY VENKATASHIVA KUSUMANCHI (NPI 1982407904) is an individual student in an organized health care education/training program in Cincinnati, Ohio and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982407904
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameABHINAY VENKATASHIVA KUSUMANCHI
Location Address3188 BELLEVUE AVE., ML 0781Cincinnati, OH 45219
Mailing Address3188 Bellevue Ave., Ml 0781Cincinnati, OH 45219 · (513) 584-4505 · Fax (513) 584-0468
Fax(513) 584-0468
Sole ProprietorNo
Enumeration DateMarch 27, 2025
Last NPPES UpdateJune 26, 20252 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
NPI 1982407904 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.

3188 BELLEVUE AVE., ML 0781, Cincinnati, OH 45219

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Abhinay Venkatashiva Kusumanchi 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.

Student in an Organized Health Care Education/Training Program
3188 BELLEVUE AVE., ML 0781, INTERNAL MEDICINE
CINCINNATI, OH 45219
Student in an Organized Health Care Education/Training Program
3188 BELLEVUE AVE., ML 0781, INTERNAL MEDICINE
CINCINNATI, OH 45219
Student in an Organized Health Care Education/Training Program
3188 BELLEVUE AVE., ML 0781, INTERNAL MEDICINE
CINCINNATI, OH 45219
Student in an Organized Health Care Education/Training Program
3188 BELLEVUE AVE., ML 0781, INTERNAL MEDICINE
CINCINNATI, OH 45219
Student in an Organized Health Care Education/Training Program
3188 BELLEVUE AVE., ML 0781, INTERNAL MEDICINE
CINCINNATI,, OH 45219
Student in an Organized Health Care Education/Training Program
3188 BELLEVUE AVE., ML 0781, INTERNAL MEDICINE
CINCINNATI, OH 45219
Student in an Organized Health Care Education/Training Program
3188 BELLEVUE AVE., ML 0781, INTERNAL MEDICINE
CINCINNATI, OH 45219
Student in an Organized Health Care Education/Training Program
3188 BELLEVUE AVE., ML 0781, INTERNAL MEDICINE
CINCINNATI, OH 45219

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982407904, enumerated as an "individual" on March 27, 2025.

The provider is located at 3188 BELLEVUE AVE., ML 0781 CINCINNATI, OH 45219 and the phone number is (513) 584-4505.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.