DEEPTHI BANDARU
NPI 1124919113
Pediatrics in Tucson, AZ

Q: What is Deepthi Bandaru's NPI number?

The NPI number for Deepthi Bandaru is 1124919113. It was assigned to this individual provider in the NPPES registry on July 9, 2025.

Q: What is Deepthi Bandaru's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Deepthi Bandaru was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 09, 2025PECOS Enrolled

1501 N CAMPBELL AVE, TUCSON, AZ 85724(520) 694-0111 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Deepthi Bandaru NPPES

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

DEEPTHI BANDARU (NPI 1124919113) is an individual pediatrics provider in Tucson, Arizona, licensed in Arizona (R81646) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124919113

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDEEPTHI BANDARU

Location Address1501 N CAMPBELL AVETucson, AZ 85724-0001

Mailing Address1501 N Campbell AveTucson, AZ 85724-0001

Phone(520) 694-0111

Sole ProprietorNo

Enumeration DateJuly 9, 2025

NPPES CertifiedJuly 9, 2025

✔ NPI 1124919113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AZ · R81646

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1501 N CAMPBELL AVE, Tucson, AZ 85724

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deepthi Bandaru is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 85724 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

MR. DOUGLAS FRANK LARSON PH.D.

Perfusionist

1501 N CAMPBELL AVE, SUITE 4402 ARIZONA HEALTH SCIENCE CENTER
TUCSON, AZ 85724

Pima County (520) 626-6339

MARTIN DEMANT

Pediatrics