PRANAV REDDY BOMMINENI DO
NPI 1093455685
Emergency Medicine in Jacksonville, FL
About Pranav Reddy Bommineni Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRANAV REDDY BOMMINENI DO (NPI 1093455685) is an individual emergency medicine provider in Jacksonville, Florida, licensed in Florida (UO8649) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and maintains a secondary practice location in Orange Park.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Pranav Reddy Bommineni Do 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 Reassignments
2Medicare enrollment records show Pranav Bommineni reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jacksonville, FL 32244
- Reassigned Medicare billing, Florida enrollment
- 367 clinicians in this Medicare group
Jacksonville, FL 32207
- Reassigned Medicare billing, Florida enrollment
- 428 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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension St Vincent's Riverside
Acute Care Hospitals · Jacksonville, FLAscension St Vincent's Southside
Acute Care Hospitals · Jacksonville, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32204 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.
JACKSONVILLE, FL 32204
JACKSONVILLE, FL 32204
JACKSONVILLE, FL 32204
JACKSONVILLE, FL 32204
JACKSONVILLE, FL 32204
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 Pranav Bommineni's NPI number?
The NPI number for Pranav Bommineni is 1093455685. It was assigned to this individual provider in the NPPES registry on March 31, 2022.
Where is Pranav Bommineni located?
Pranav Bommineni practices at 1 Shircliff Way, Jacksonville, FL 32204. The listed phone number is (904) 308-7000.
What is Pranav Bommineni's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Pranav Bommineni enrolled in Medicare?
Yes. Pranav Bommineni 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 organizations bill Medicare for Pranav Bommineni's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pranav Bommineni reassigns Medicare benefits to 2 organizations: Cep America LLC (Jacksonville, FL) and Emergency Physicians Inc (Jacksonville, FL). Each 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 Pranav Bommineni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Pranav Bommineni affiliated with any hospitals?
According to CMS data, Pranav Bommineni is affiliated with Ascension St Vincent's Riverside and Ascension St Vincent's Southside.
When was this NPI record last updated?
The NPPES record for Pranav Bommineni was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Pranav Reddy Bommineni, DO · NPI 1093455685
Emergency Medicine physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since March 31, 2022.
## Identity
- **NPI:** 1093455685 (Entity type: Individual)
- **Enumerated:** March 31, 2022
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** UO8649 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 SHIRCLIFF WAY, Jacksonville, FL 32204-4748
- **Phone:** (904) 308-7000
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Cep America LLC (NPI 1871280867, Jacksonville, FL); Emergency Physicians Inc (NPI 1285686675, Jacksonville, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Liberty Univ College Of Osteopathic Medicine, class of 2022
## Record status
- **NPPES last updated:** June 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1093455685) · Data from the CMS NPPES public registry.