DR. RAVALI NAGOTHU MD
NPI 1154819613
Internal Medicine - Pulmonary Disease in Surprise, AZ

Q: What is Ravali Nagothu's NPI number?

The NPI number for Ravali Nagothu is 1154819613. It was assigned to this individual provider in the NPPES registry on April 30, 2018. The provider is also known as Ravali Kondaveeti MD.

Q: What is Ravali Nagothu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Ravali Nagothu was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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 April 30, 2018PECOS EnrolledAccepts Medicare Assignment

14961 W BELL RD STE 175, SURPRISE, AZ 85374(623) 242-9830 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 17, 2024, Oct 13, 2023, Apr 13, 2021 and 1 more (4 updates tracked since 2018).

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About Dr. Ravali Nagothu Md NPPES

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

DR. RAVALI NAGOTHU MD (NPI 1154819613) is an individual pulmonary disease provider in Surprise, Arizona, licensed in Arizona (73628) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1154819613

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameDR. RAVALI NAGOTHUCredential: MD

Location Address14961 W BELL RD STE 175Surprise, AZ 85374-3220

Mailing Address14961 W Bell Rd Ste 175Surprise, AZ 85374-3220

Phone(623) 242-9830

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateApril 30, 2018

Last NPPES UpdateJanuary 27, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2025

✔ NPI 1154819613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in AZ · 73628✔ Licensed in AL · 42885

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 73628 (AZ)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

14961 W BELL RD STE 175, Surprise, AZ 85374

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Other Names 1

Former Name (1)Ravali Kondaveeti Md

Secondary Practice Locations 2

Location 18268 164th StJamaica, NY 11432-1104 · Phone (718) 883-3226

Location 22451 University Hospital Dr Rm 714Mobile, AL 36617-2300 · Phone (251) 471-7207 · Fax (251) 471-7468

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

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. Ravali Nagothu Md 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 ID9234478983

PECOS Enrollment IDI20251028001416

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.

Medicare Billing Reassignments

Medicare enrollment records show Ravali Nagothu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arizona Lung Sleep And Valley Fever Institute Inc

Same address

Pulmonary Disease

14961 W BELL RD, SUITE 175
Surprise, AZ 85374

Reassigned Medicare billing, Arizona enrollment
8 clinicians in this Medicare group

NPI 1457568842 (623) 242-9830

University Of South Alabama Health Care Authority

1,423 mi

Internal Medicine

6300 USA HEALTH BLVD
Mobile, AL 36608

Reassigned Medicare billing, Alabama enrollment
95 clinicians in this Medicare group

NPI 1508392432 (251) 633-8880

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85374 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

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.

ZEYAD ALSAEEDI MD

Internal Medicine