DR. REVATI KALLURI MD
NPI 1215624085
Internal Medicine in Portland, OR

Active since April 20, 2023PECOS Enrolled
5050 NE HOYT ST STE 540, PORTLAND, OR 97213(503) 215-6488 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Revati Kalluri Md NPPES

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

DR. REVATI KALLURI MD (NPI 1215624085) is an individual internal medicine provider in Portland, Oregon, licensed in Oregon (PG227016) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215624085
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. REVATI KALLURICredential: MD
Location Address5050 NE HOYT ST STE 540Portland, OR 97213-2985
Mailing Address5050 Ne Hoyt St Ste 540Portland, OR 97213-2985 · (503) 215-6488
Sole ProprietorYes
Enumeration DateApril 20, 2023
Last NPPES UpdateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
NPI 1215624085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OR · PG227016
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

5050 NE HOYT ST STE 540, Portland, OR 97213

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Revati Kalluri 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 97213 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

Student in an Organized Health Care Education/Training Program
5050 NE HOYT ST STE 540
PORTLAND, OR 97213
Internal Medicine (Infectious Disease)
5050 NE HOYT ST STE 540
PORTLAND, OR 97213
Internal Medicine
5050 NE HOYT ST STE 540
PORTLAND, OR 97213
Internal Medicine (Infectious Disease)
5050 NE HOYT ST STE 540
PORTLAND, OR 97213
Internal Medicine (Infectious Disease)
5050 NE HOYT ST STE 540
PORTLAND, OR 97213
Internal Medicine
5050 NE HOYT ST STE 540
PORTLAND, OR 97213
Internal Medicine
5050 NE HOYT ST STE 540
PORTLAND, OR 97213
Student in an Organized Health Care Education/Training Program
5050 NE HOYT ST STE 540
PORTLAND, OR 97213

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 Revati Kalluri's NPI number?

The NPI number for Revati Kalluri is 1215624085. It was assigned to this individual provider in the NPPES registry on April 20, 2023.

Where is Revati Kalluri located?

Revati Kalluri practices at 5050 NE Hoyt St Ste 540, Portland, OR 97213. The listed phone number is (503) 215-6488.

What is Revati Kalluri's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Revati Kalluri enrolled in Medicare?

Yes. Revati Kalluri is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Revati Kalluri was last updated on August 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.