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

BHAVANA NANGUNURI MD
NPI 1457092769
General Practice in Richmond, VA

Q: What is Bhavana Nangunuri's NPI number?

The NPI number for Bhavana Nangunuri is 1457092769. It was assigned to this individual provider in the NPPES registry on April 2, 2022. The provider is also known as Harshita Nangunuri.

Q: What is Bhavana Nangunuri's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Bhavana Nangunuri was last updated on July 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.

Active since April 02, 2022PECOS Enrolled

11958 W BROAD ST, RICHMOND, VA 23233(804) 360-4669(804) 364-6521 Get Directions Write a Review

NPPES record last updated: July 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2026, Mar 16, 2025, Jun 23, 2023 (3 updates tracked since 2023).

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About Bhavana Nangunuri Md NPPES

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

BHAVANA NANGUNURI MD (NPI 1457092769) is an individual general practice provider in Richmond, Virginia, licensed in Illinois (036.173927) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457092769

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameBHAVANA NANGUNURICredential: MD

Location Address11958 W BROAD STRichmond, VA 23233-1007

Mailing AddressPo Box 980257Richmond, VA 23298-0257 · (804) 828-9783

Phone(804) 360-4669

Fax(804) 364-6521

Sole ProprietorNo

Enumeration DateApril 2, 2022

Last NPPES UpdateJuly 19, 20263 updates tracked since enumeration

NPPES CertifiedJuly 19, 2026

✔ NPI 1457092769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in IL · 036.173927

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License 0101289108 (VA)

11958 W BROAD ST, Richmond, VA 23233

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Other Names 1

Other Name (5)Harshita Nangunuri

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bhavana Nangunuri 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.

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.

KARIM OSAMA IBRAHIM MOHAMED

Psychiatry & Neurology (Neuromuscular Medicine)

11958 W BROAD ST
RICHMOND, VA 23233

Henrico County (804) 360-4669

BRADLEY ALAN STOVALL DO

Physical Medicine & Rehabilitation

11958 W BROAD ST
HENRICO, VA 23233

Henrico County (804) 360-4669

JESSICA HUPE

Physical Medicine & Rehabilitation

11958 W BROAD ST
HENRICO, VA 23233

Henrico County (804) 360-4669

MOHAMED BILAL HARADWALA MD

Psychiatry & Neurology (Neurology)

11958 W BROAD ST
HENRICO, VA 23233

Henrico County (804) 828-7929

ALEXANDRA LYNN MCMILLEN FNP-C

Nurse Practitioner

11958 W BROAD ST
HENRICO, VA 23233

Henrico County (804) 360-4669

JOSHUA LEE M.D.

Anesthesiology (Pain Medicine)

11958 W BROAD ST
HENRICO, VA 23233

Henrico County (804) 828-0733

ANNA WHITHAM MD

Psychiatry & Neurology (Neurology)

11958 W BROAD ST
RICHMOND, VA 23233

Henrico County (804) 360-4669

DR. RYAN CANISSARIO M.D.

Psychiatry & Neurology (Neurology)

11958 W BROAD ST
HENRICO, VA 23233

Henrico County (804) 828-9350

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 Bhavana Nangunuri's NPI number?

The NPI number for Bhavana Nangunuri is 1457092769. It was assigned to this individual provider in the NPPES registry on April 2, 2022. The provider is also known as Harshita Nangunuri.

Where is Bhavana Nangunuri located?

Bhavana Nangunuri practices at 11958 W Broad St, Richmond, VA 23233. The listed phone number is (804) 360-4669.

What is Bhavana Nangunuri's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Bhavana Nangunuri enrolled in Medicare?

Yes. Bhavana Nangunuri is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bhavana Nangunuri was last updated on July 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.