DR. RAVI VARMA DATLA M.D.
NPI 1053596270
Internal Medicine in Rockville, MD
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
Specialties & Licenses 2
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Ravi Datla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kensington, MD 20895
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- Also billed through NPI 1285752121 (Maryland)
- 2,492 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MDPhysician 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.
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.
ROCKVILLE, MD 20852
ROCKVILLE, MD 20852
ROCKVILLE, MD 20852
ROCKVILLE, MD 20852
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.
Which organization bills Medicare for Ravi Datla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ravi Datla reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Kensington, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ravi Datla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Ravi Varma Datla, M.D. · NPI 1053596270
Internal Medicine physician in Rockville, Maryland. Individual provider, active in the CMS NPPES registry since January 7, 2008.
## Identity
- **NPI:** 1053596270 (Entity type: Individual)
- **Enumerated:** January 7, 2008
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 0101243191 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2101 E JEFFERSON ST, SUITE 308, Rockville, MD 20852-4908
- **Phone:** (301) 816-7405
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1376601872, Kensington, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** June 7, 2021
- **Other identifiers:** Other P00729695 (VA); Other 302011 (VA); Other 4195775; and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1053596270) · Data from the CMS NPPES public registry.