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BHAVANA NANGUNURI MD
NPI 1457092769
General Practice in Richmond, VA

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Bhavana Nangunuri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
1,132 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Illinois enrollment
  • 712 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
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
DR. SCOTT ROBERT HAINES M.D.
Psychiatry & Neurology (Neurology)
11958 W BROAD ST
HENRICO, VA 23233
Henrico County (804) 360-4669

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.

Which organization bills Medicare for Bhavana Nangunuri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bhavana Nangunuri reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bhavana Nangunuri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 3 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.