Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KAIVALYA DANDAMUDI MD
NPI 1427753201
Internal Medicine - Cardiovascular Disease in Philadelphia, PA

Q: What is Kaivalya Dandamudi's NPI number?

The NPI number for Kaivalya Dandamudi is 1427753201. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Q: What is Kaivalya Dandamudi's specialty?

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

Active since April 03, 2023PECOS Enrolled

111 S 11TH ST STE 2170, PHILADELPHIA, PA 19107(215) 955-1096(215) 503-3976 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2025, Jun 30, 2024, Apr 3, 2023 (3 updates tracked since 2023).

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About Dr. Kaivalya Dandamudi Md NPPES

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

DR. KAIVALYA DANDAMUDI MD (NPI 1427753201) is an individual cardiovascular disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (HS000240L) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427753201

Entity TypeIndividualFemale

Primary Taxonomy207RC0000X

Provider Legal NameDR. KAIVALYA DANDAMUDICredential: MD

Location Address111 S 11TH ST STE 2170Philadelphia, PA 19107-4870

Mailing Address111 S 11th St Ste 2170Philadelphia, PA 19107-4870 · (215) 955-1096

Phone(215) 955-1096

Fax(215) 503-3976

Sole ProprietorNo

Enumeration DateApril 3, 2023

Last NPPES UpdateJune 11, 20263 updates tracked since enumeration

NPPES CertifiedJune 11, 2026

✔ NPI 1427753201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in PA · HS000240L

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.

111 S 11TH ST STE 2170, Philadelphia, PA 19107

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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)

Dr. Kaivalya Dandamudi 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 19107 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA MARIE SCORR MD

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