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

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: July 26, 2026.

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

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
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)
14961 W BELL RD STE 175, Surprise, AZ 85374

Other Names 1

Former Name (1)Ravali Kondaveeti Md

Secondary Practice Locations 2

Location 12451 University Hospital Dr Rm 714Mobile, AL 36617-2300 · Phone (251) 471-7207 · Fax (251) 471-7468
Location 28268 164th StJamaica, NY 11432-1104 · Phone (718) 883-3226

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

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.

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.

Internal Medicine
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Student in an Organized Health Care Education/Training Program
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Student in an Organized Health Care Education/Training Program
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Obstetrics & Gynecology
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Physician Assistant
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Internal Medicine
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Obstetrics & Gynecology
14961 W BELL RD STE 175
SURPRISE, AZ 85374
Physician Assistant
14961 W BELL RD STE 175
SURPRISE, AZ 85374

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 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.

Where is Ravali Nagothu located?

Ravali Nagothu practices at 14961 W Bell Rd Ste 175, Surprise, AZ 85374. The listed phone number is (623) 242-9830.

What is Ravali Nagothu's specialty?

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

Is Ravali Nagothu enrolled in Medicare?

Yes. Ravali Nagothu 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 Ravali Nagothu accept?

Health plans from UnitedHealthcare list Ravali Nagothu 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 Ravali Nagothu was last updated on January 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.