BHAVANI PEDDAGOVINDU MD NPI 1013167303

Internal Medicine in Coos Bay, OR

NPI 1013167303 Individual Female Years of Experience 19 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment

About BHAVANI PEDDAGOVINDU

Bhavani Peddagovindu is an internal medicine provider established in Coos Bay, Oregon and her medical specialization is internal medicine with more than 19 years of experience. The NPI number of Bhavani Peddagovindu is 1013167303 and was assigned on September 2008. The practitioner's primary taxonomy code is 207R00000X with license number MD158124 (OR). The provider is registered as an individual and her NPI record was last updated 7 years ago.

An internist like Bhavani Peddagovindu Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Bhavani Peddagovindu is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Bhavani Peddagovindu is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Bay Area Hospital and Lower Umpqua Hospital District.

NPI

1013167303

Provider Name BHAVANI PEDDAGOVINDU MD
Provider Location Address1900 WOODLAND DR COOS BAY, OR 97420
Provider Mailing Address1900 WOODLAND DR COOS BAY, OR 97420
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2003
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date09-24-2008
Last Update Date10-01-2014


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.MD158124
License StateOR
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

BHAVANI PEDDAGOVINDU MD
1900 WOODLAND DR
COOS BAY, OR
ZIP 97420
Phone: (541) 267-5151
Fax: (541) 266-4572

Get Directions


Mailing Address

BHAVANI PEDDAGOVINDU MD
1900 WOODLAND DR
COOS BAY, OR
ZIP 97420
Phone: (541) 267-5151
Fax: (541) 266-4572



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID446406334
PECOS Enrollment IDI20120808000727
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 338Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 239Administration of influenza virus vaccine (HCPCS:G0008)
  • 96Administration of pneumococcal vaccine (HCPCS:G0009)
  • 86X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 62Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • 61Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
  • 61Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter (HCPCS:G0434)
  • 59Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 35Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration (HCPCS:94060)
  • 30Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial im (HCPCS:G0179)
  • 23Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)
  • 21X-ray of knee, 3 views (HCPCS:73562)
  • 16X-ray of shoulder, minimum of 2 views (HCPCS:73030)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Bhavani Peddagovindu is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
BAY AREA HOSPITAL1775 THOMPSON ROAD
COOS BAY, OR 97420
(541) 269-8135Acute Care Hospitals380090
LOWER UMPQUA HOSPITAL DISTRICT600 RANCH ROAD
REEDSPORT, OR 97467
(541) 271-2171Critical Access Hospitals381311

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineMD158124ORNo

Taxonomy Description: an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
500648004MEDICAID (05)OR
R165290MEDICARE PIN (08)OR
1407812365OTHER (01)OR
930635514OTHER (01)OR
161133OTHER (01)OR
P01278284OTHER (01)OR
R0000WFBTVOTHER (01)OR

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174517528 MARY IRENE HERNANDEZ MPT, CWS
Individual
Physical Therapist1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1174507941DR. JOYCE GAIL BALLARD MD
Individual
Internal Medicine1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1578547139DR. LOWELL EDMUND KOBRIN PHD MD
Individual
Acupuncturist1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1326022997DR. PHILIP CAREY LAGESSE MD
Individual
Pediatrics1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1659355220DR. FRANK ANDRUS LARSON MD FACS
Individual
Surgery1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1447234018DR. ROBERT KENT LEVY MD
Individual
Internal Medicine1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1528042116 HEATHER RENEE MACLEAN RN, NMNP - PP
Individual
Advanced Practice Midwife1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1740264399DR. WILLIAM DRAWDY KING MD
Individual
Internal Medicine1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1205811437DR. WILLIAM RICHARD MALCOLM MD
Individual
Obstetrics & Gynecology1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1962487124DR. DAVID EDWARD OELKE MD
Individual
Internal Medicine1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1225013485DR. BASIL PITTENGER MD
Individual
Internal Medicine1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1164407375DR. THOMAS FRANCIS MCANDREW MD
Individual
Family Medicine1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1669457883DR. CARLA DAWN MCKELVEY MD
Individual
Pediatrics1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1619952876DR. CHRISTOPHER MARTIN MULLER MD
Individual
Internal Medicine1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1043295207DR. DONNA LEE RABIN MD
Individual
Pediatrics1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1689659849DR. WARREN STEVEN RICHARDSON MD
Individual
Internal Medicine1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1447235668DR. THEODORE ROANDO MCNITT MD
Individual
Internal Medicine1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1639154875DR. THERESA AILEEN MUDAY MD
Individual
Family Medicine1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1548245707DR. FRANK YUTAKA MUKAIDA MD
Individual
Obstetrics & Gynecology1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151
1063498475DR. KENT DOUGLAS SHARMAN MD
Individual
Family Medicine1900 WOODLAND DR
COOS BAY, OR 97420
(541) 267-5151

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.