PRAVALIKA RUDRARAJU MD
NPI 1407474562
Internal Medicine in Tucson, AZ

Active since July 06, 2020PECOS EnrolledAccepts Medicare Assignment
1625 N CAMPBELL AVE, TUCSON, AZ 85719(520) 694-0111(520) 694-6204 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 1, 2026, Apr 12, 2023, Jul 6, 2020 (3 updates tracked since 2020).

About Pravalika Rudraraju Md NPPES

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

PRAVALIKA RUDRARAJU MD (NPI 1407474562) is an individual internal medicine provider in Tucson, Arizona, licensed in Arizona (79281) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with United Regional Health Care System, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407474562
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePRAVALIKA RUDRARAJUCredential: MD
Location Address1625 N CAMPBELL AVETucson, AZ 85719-4330
Mailing Address1625 N Campbell AveTucson, AZ 85719-4330 · (520) 694-0111 · Fax (520) 694-6204
Fax(520) 694-6204
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 6, 2020
Last NPPES UpdateJune 1, 20263 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
NPI 1407474562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in AZ · 79281 Licensed in TX · U1556 Licensed in MI · 4351046414
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.
Also ListedHospitalistTaxonomy 208M00000X · License U1556 (TX)
1625 N CAMPBELL AVE, Tucson, AZ 85719

Secondary Practice Locations 2

Location 11631 11th Street, Unit BWichita Falls, TX 76301-7630 · Phone (940) 263-3000 · Fax (940) 263-3018
Location 26245 Inkster Rd Dept OfGarden City, MI 48135-4001 · Phone (734) 458-4486

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

Pravalika Rudraraju 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 ID6608299730
PECOS Enrollment IDI20230424001478
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
839 services363 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
240 services232 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
88 services88 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
69 services69 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

United Regional Health Care System

Acute Care Hospitals · Wichita Falls, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450010
Location1600 11th StreetWichita Falls, TX 76301 · Wichita County
Emergency services Birthing friendly

Electra Memorial Hospital

Critical Access Hospitals · Electra, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451343
Location1207 S Bailey StreetElectra, TX 76360 · Wichita County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85719 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$15.10 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$69.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pediatrics
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Pediatrics
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Physician Assistant
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Emergency Medicine
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Emergency Medical Technician, Paramedic
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Anesthesiology
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Radiology (Diagnostic Radiology)
1625 N CAMPBELL AVE
TUCSON, AZ 85719
Emergency Medicine
1625 N CAMPBELL AVE
TUCSON, AZ 85719

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 Pravalika Rudraraju's NPI number?

The NPI number for Pravalika Rudraraju is 1407474562. It was assigned to this individual provider in the NPPES registry on July 6, 2020.

Where is Pravalika Rudraraju located?

Pravalika Rudraraju practices at 1625 N Campbell Ave, Tucson, AZ 85719. The listed phone number is (520) 694-0111.

What is Pravalika Rudraraju's specialty?

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

Is Pravalika Rudraraju enrolled in Medicare?

Yes. Pravalika Rudraraju 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 Pravalika Rudraraju accept?

Health plans from Blue Cross and Blue Shield of Texas list Pravalika Rudraraju 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.

Is Pravalika Rudraraju affiliated with any hospitals?

According to CMS data, Pravalika Rudraraju is affiliated with United Regional Health Care System and Electra Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Pravalika Rudraraju was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.