Padmavathi Mogili
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Cheyenne, WY
NPI 1972176832 · NPPES record last updated Jun 3, 2026
Key facts
- NPI
- 1972176832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 820 E 17TH St
Cheyenne, WY 82001-4714 - Phone
- (307) 632-2434
- NPI assigned
- Jul 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Medicine Associates P.a., P.C.
Practice addresses (Care Compare)
1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (703) 558-5000
8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (330) 493-4443
8200 Good Luck Rd
Lanham, MD 20706-3511
Phone (330) 493-4443
Hospital & facility affiliations
- Luminis Health Doctors Community Medical Ctr, Inc
- University of MD Capital Region Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221028002807 | DC | Practitioner - Physician Assistant | 1355720673 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110-008764 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Associates P.a., P.C. | Current |
Accepting new patients | |
| Dimensions Health Corporation | Past | Accepting new patients | |
| Caremed Medical Group | Past |
Accepting new patients | |
| Las Colinas Endocrinology | Single Specialty | Past |
Accepting new patients |
Locations
901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
Interoperability endpoints
- pmogili164925@direct.aahs.org
- padmavathi.mogili.1@15482.direct.athenahealth.com
- https://fhir4.healow.com/fhir/r4/HIEEBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | PA14774 | TX | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | PA14774 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | WY | Yes | |
| Physician Assistant |
363A00000X | 0110-008764 | VA |
Addresses
Primary practice location
820 E 17TH St
Cheyenne, WY 82001-4714
Mailing address
820 E 17TH St
Cheyenne, WY 82001-4714
Phone (307) 632-2434
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | COPPELL | Direct |
Other providers in Cheyenne, WY
- Bailey Mlinar
- MNM Wyo Dentistry LLC
- Amanda Moeller
- Misty Moeller
- Melanie Mofield
- Salah Mohamed
- Karthik Mohanarangan
- Bradley Mohar
- Momentum Counseling and Consulting LLC
- Momentum Counseling and Consulting LLC
All providers in Cheyenne, WY · Student in an Organized Health Care Education/Training Program in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2026. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.