REVANTH REDDY BANDARU MD
NPI 1154994200
Internal Medicine - Cardiovascular Disease in Inverness, FL

Q: What is Revanth Reddy Bandaru's NPI number?

The NPI number for Revanth Reddy Bandaru is 1154994200. It was assigned to this individual provider in the NPPES registry on July 16, 2021.

Q: What is Revanth Reddy Bandaru's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since July 16, 2021PECOS Enrolled

502 W HIGHLAND BLVD, INVERNESS, FL 34452(470) 237-6445 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 24, 2026, Jul 16, 2021 (2 updates tracked since 2021).

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About Revanth Reddy Bandaru Md NPPES

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

REVANTH REDDY BANDARU MD (NPI 1154994200) is an individual cardiovascular disease provider in Inverness, Florida, licensed in Florida (39603) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154994200

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameREVANTH REDDY BANDARUCredential: MD

Location Address502 W HIGHLAND BLVDInverness, FL 34452-4720

Mailing Address175 Bittern LoopInverness, FL 34453-7044 · (470) 237-6445

Phone(470) 237-6445

Sole ProprietorYes

Enumeration DateJuly 16, 2021

Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration

NPPES CertifiedMarch 24, 2026

✔ NPI 1154994200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in FL · 39603

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License RTL21-0293 (NC)

502 W HIGHLAND BLVD, Inverness, FL 34452

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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)

Revanth Reddy Bandaru Md 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 34452 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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.

ERIK VINCEK

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