REVATHI BEDUDOORI
NPI 1073396719
Nurse Practitioner - Acute Care in Las Vegas, NV

Active since August 16, 2023PECOS EnrolledAccepts Medicare Assignment
9750 MASPALOMAS ST, LAS VEGAS, NV 89178(702) 481-9763 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Revathi Bedudoori NPPES

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

REVATHI BEDUDOORI (NPI 1073396719) is an individual acute care provider in Las Vegas, Nevada, licensed in Nevada (862399) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1073396719
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameREVATHI BEDUDOORI
Location Address9750 MASPALOMAS STLas Vegas, NV 89178-7512
Mailing Address9750 Maspalomas StLas Vegas, NV 89178-7512 · (702) 481-9763
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 16, 2023
NPPES CertifiedAugust 16, 2023
NPI 1073396719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in NV · 862399
9750 MASPALOMAS ST, Las Vegas, NV 89178

Accepted Insurance

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

Revathi Bedudoori 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 ID7618320060
PECOS Enrollment IDI20240201001411
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services36 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89178 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

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 Revathi Bedudoori's NPI number?

The NPI number for Revathi Bedudoori is 1073396719. It was assigned to this individual provider in the NPPES registry on August 16, 2023.

Where is Revathi Bedudoori located?

Revathi Bedudoori practices at 9750 Maspalomas St, Las Vegas, NV 89178. The listed phone number is (702) 481-9763.

What is Revathi Bedudoori's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Revathi Bedudoori enrolled in Medicare?

Yes. Revathi Bedudoori 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.

What insurance does Revathi Bedudoori accept?

Health plans from Ambetter from Arizona Complete Health list Revathi Bedudoori as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revathi Bedudoori was last updated on August 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.