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KAVITA VANGURU BOLLAVARAM M.D
NPI 1366479982
Internal Medicine in Lawrenceville, GA

Active since June 27, 2006PECOS Enrolled
VA CLINIC, 1970 RIVERSIDE PARKWAY, LAWRENCEVILLE, GA 30043(404) 417-1713 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kavita Vanguru Bollavaram M.d NPPES

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

KAVITA VANGURU BOLLAVARAM M.D (NPI 1366479982) is an individual internal medicine provider in Lawrenceville, Georgia, licensed in Georgia (047575) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366479982
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKAVITA VANGURU BOLLAVARAMCredential: M.D
Location AddressVA CLINIC, 1970 RIVERSIDE PARKWAYLawrenceville, GA 30043
Mailing Address2224 Glenmore LnSnellville, GA 30078-5650 · (770) 985-1870
Phone(404) 417-1713
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1366479982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 047575
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.
VA CLINIC, Lawrenceville, GA 30043
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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)

Kavita Vanguru Bollavaram M.d 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 30043 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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 Kavita Bollavaram's NPI number?

The NPI number for Kavita Bollavaram is 1366479982. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Kavita Bollavaram located?

Kavita Bollavaram practices at VA Clinic 1970 Riverside Parkway, Lawrenceville, GA 30043. The listed phone number is (404) 417-1713.

What is Kavita Bollavaram's specialty?

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

Is Kavita Bollavaram enrolled in Medicare?

Yes. Kavita Bollavaram is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kavita Bollavaram was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.