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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRANAV REDDY BOMMINENI DO
NPI 1093455685
Emergency Medicine in Jacksonville, FL

Active since March 31, 2022PECOS Enrolled
1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204(904) 308-7000 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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, maintains a secondary practice location in Orange Park, and is a graduate of Liberty Univ College Of Osteopathic Medicine (2022).

NPPES Registry Identity

NPI1093455685
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NamePRANAV REDDY BOMMINENICredential: DO
Location Address1 SHIRCLIFF WAYJacksonville, FL 32204-4748
Mailing Address1601 Cummins Dr Ste DModesto, CA 95358-6411
Phone(904) 308-7000
Sole ProprietorNo
Medical School CMSLiberty Univ College Of Osteopathic MedicineGraduated 2022
Enumeration DateMarch 31, 2022
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1093455685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in FL · UO8649
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1 SHIRCLIFF WAY, Jacksonville, FL 32204
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Secondary Practice Location 1

Location 12001 Kingsley AveOrange Park, FL 32073-5148 · Phone (904) 639-2000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pranav Reddy Bommineni Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961886049
PECOS Enrollment IDI20260113001413
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.

Physician 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.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

COMPREHENSIVE CARE PARTNERS LLC
Surgery
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (352) 250-2650
DR. SARAH ANNE PISCITELLO CRNA
Nurse Anesthetist, Certified Registered
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 477-5855
MRS. JENNIFER ANNE ALLEN NP
Nurse Practitioner (Critical Care Medicine)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300
MAX T BILLINGSLEY MD
Emergency Medicine (Emergency Medical Services)
1 SHIRCLIFF WAY, EMERGENCY DEPARTMENT
JACKSONVILLE, FL 32204
Duval County (904) 346-5426
TABITHA JAY BARRETT CRNA
Nurse Anesthetist, Certified Registered
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (954) 939-5216
PAUL D LUCEY MD
Emergency Medicine
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300
WILBUR L AUGENSTEIN MD
Emergency Medicine (Emergency Medical Services)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300
CHANEL WOOD MD
Radiology (Diagnostic Radiology)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300

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 enrollment system.

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 48 days 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.