Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Pratika Mikkilineni, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053040162

Dr. Pratika Mikkilineni, MD is a Pediatric Medicine in Montclair, New Jersey. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Montclair, NJ

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 1650 Grand Concourse, Bronx, NY 10457-7697 — (718) 960-1449

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence 25MA12725400 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053040162
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2022
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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