Priyanka Bheemreddy, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Newark, DE
NPI 1689478489 · NPPES record last updated Apr 2, 2025
Key facts
- NPI
- 1689478489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 4755 Ogletown Stanton Rd
Newark, DE 19718-0002 - Phone
- (302) 733-1000
- NPI assigned
- Apr 2, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250502002371 | DE | Order and Referring Only - Internal Medicine |
1153848163 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
4755 Ogletown Stanton Rd
Newark, DE 19718-0002
Mailing address
4755 Ogletown Stanton Rd
Newark, DE 19718-0002
Phone (302) 733-1000
Other providers in Newark, DE
- Aashna Bhandari
- Rahill Aneesh Bhaskar
- Anjana Narayan Bhat
- Shazia F Bhat
- Sokun Ky Bhatti
- Tony Bianchetta
- Natalie Kathleen Bianchi
- Jenna Rose Bianco
- Marylou Foster Biasotto
- Nicholas Oliver Biasotto
All providers in Newark, DE · Student in an Organized Health Care Education/Training Program in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.