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DR. RAVI VARMA DATLA M.D.
NPI 1053596270
Internal Medicine in Rockville, MD

Active since January 07, 2008PECOS EnrolledAccepts Medicare Assignment
2101 E JEFFERSON ST, SUITE 308, ROCKVILLE, MD 20852(301) 816-7405 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ravi Varma Datla M.d. NPPES

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

DR. RAVI VARMA DATLA M.D. (NPI 1053596270) is an individual internal medicine provider in Rockville, Maryland, licensed in Virginia (0101243191) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with University Of Md Baltimore Washington Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1053596270
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RAVI VARMA DATLACredential: M.D.
Location Address2101 E JEFFERSON ST, SUITE 308Rockville, MD 20852-4908
Mailing Address2101 E Jefferson St, Suite 308Rockville, MD 20852-4908 · (301) 816-7405
Phone(301) 816-7405
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 7, 2008
Last NPPES UpdateJune 7, 2021
NPPES CertifiedJune 7, 2021
✔ NPI 1053596270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101243191
Definition
A 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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT186124 (PA)
2101 E JEFFERSON ST, Rockville, MD 20852
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Other Identifiers 4

OtherP00729695VA · Railroad Medicare
Other302011VA · Anthem
Other4195775Cigna
Medicaid1053596270VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ravi Varma Datla M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052488400
PECOS Enrollment IDI20110321000189
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of MD Baltimore Washington Medical Center

Acute Care Hospitals · Glen Burnie, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210043
Location301 Hospital DriveGlen Burnie, MD 21061 · Anne Arundel County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20852 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MONET STANFORD
Pharmacist
2101 E JEFFERSON ST
ROCKVILLE, MD 20852
Montgomery County (301) 816-7336
DR. KAJAL DASGUPTA M.D.
Internal Medicine
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD 20852
Montgomery County (301) 816-2424
MS. AUDREY K TSAO MD
Orthopaedic Surgery
2101 E JEFFERSON ST, STE 100
ROCKVILLE, MD 20852
Montgomery County (602) 616-1434
DR. MECHELE SILVA MD
Obstetrics & Gynecology
2101 E JEFFERSON ST
ROCKVILLE, MD 20852
Montgomery County (301) 816-7405
DR. JOSEPHINE M WHITFORD PHARMD
Pharmacist
2101 E JEFFERSON ST, PHARMACY ADMINISTRATION 3 WEST
ROCKVILLE, MD 20852
Montgomery County (301) 816-6211
DR. JULIANNE MARGARET CAMBA MD
Internal Medicine
2101 E JEFFERSON ST
ROCKVILLE, MD 20852
Montgomery County (202) 853-2996
DR. SUSAN KAY MORIARTY M.D.
Pediatrics
2101 E JEFFERSON ST, KAISER PERMANENTE, PPQA, 6 WEST, ATTN: THERESA BROOKS
ROCKVILLE, MD 20852
Montgomery County (301) 816-2424
DR. HUI-CHUN CHEN MD
Internal Medicine
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD 20852
Montgomery County (301) 816-2424

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ravi Datla's NPI number?

The NPI number for Ravi Datla is 1053596270. It was assigned to this individual provider in the NPPES registry on January 7, 2008.

Where is Ravi Datla located?

Ravi Datla practices at 2101 E Jefferson St Suite 308, Rockville, MD 20852. The listed phone number is (301) 816-7405.

What is Ravi Datla's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ravi Datla enrolled in Medicare?

Yes. Ravi Datla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ravi Datla affiliated with any hospitals?

According to CMS data, Ravi Datla is affiliated with University Of MD Baltimore Washington Medical Center.

When was this NPI record last updated?

The NPPES record for Ravi Datla was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.