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DR. BABU S BANGARU M.D.
NPI 1457546582
Pediatrics - Pediatric Gastroenterology in Loma Linda, CA

Active since September 12, 2007PECOS Enrolled
11175 CAMPUS STREET, COLEMAN PAVILION SUITE # A1120, LOMA LINDA, CA 92354(909) 558-4773(909) 558-0479 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Babu S Bangaru M.d. NPPES

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

DR. BABU S BANGARU M.D. (NPI 1457546582) is an individual pediatric gastroenterology provider in Loma Linda, California, licensed in New York (128235) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457546582
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameDR. BABU S BANGARUCredential: M.D.
Location Address11175 CAMPUS STREET, COLEMAN PAVILION SUITE # A1120Loma Linda, CA 92354-9235
Mailing Address9422 59th AveElmhurst, NY 11373-5151 · (718) 592-7797 · Fax (718) 685-2777
Phone(909) 558-4773
Fax(909) 558-0479
Sole ProprietorYes
Enumeration DateSeptember 12, 2007
Last NPPES UpdateDecember 18, 2020
NPPES CertifiedDecember 16, 2020
✔ NPI 1457546582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in NY · 128235
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
11175 CAMPUS STREET, Loma Linda, CA 92354
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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. Babu S Bangaru 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 92354 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Other Providers at the Same Location NPPES 7

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

DR. ADRIAN P LAVERY M.D, MPH
Pediatrics (Neonatal-Perinatal Medicine)
11175 CAMPUS STREET, COLEMAN PAVILION SUITE 11121 DEPARTMENT OF NEONATOLOGY
LOMA LINDA, CA 92354
San Bernardino County (909) 651-5746
SHAINA KHAN LODHI M.D.
Pediatrics (Neonatal-Perinatal Medicine)
11175 CAMPUS STREET, COLEMAN PAVILION SUITE 11121
LOMA LINDA, CA 92354
San Bernardino County (909) 800-9901
DR. RICHARD TANG-WAI MDCM, FRCPC
Psychiatry & Neurology (Epilepsy)
11175 CAMPUS STREET, COLEMAN PAVILLION, RM A1120
LOMA LINDA, CA 92354
San Bernardino County (909) 558-8242
NICOLE GALGOUL BITENCOURT MD
Internal Medicine (Rheumatology)
11175 CAMPUS STREET, COLEMAN PAVILION PEDIATRIC RHEUMATOLOGY
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4773
MELINDA ESTHER SLOAN NP
Nurse Practitioner (Acute Care)
11175 CAMPUS STREET, SUITE 11120
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4000
BRYAN E TSAO MD
Psychiatry & Neurology (Neurology)
11175 CAMPUS STREET, CP 11108
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4907
SHINTARO CHIBA M.D.
Surgery
11175 CAMPUS STREET, COLEMAN PAVILION 21111
LOMA LINDA, CA 92354
San Bernardino County (347) 446-4228

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 Babu Bangaru's NPI number?

The NPI number for Babu Bangaru is 1457546582. It was assigned to this individual provider in the NPPES registry on September 12, 2007.

Where is Babu Bangaru located?

Babu Bangaru practices at 11175 Campus Street Coleman Pavilion Suite # A1120, Loma Linda, CA 92354. The listed phone number is (909) 558-4773.

What is Babu Bangaru's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Babu Bangaru enrolled in Medicare?

Yes. Babu Bangaru is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Babu Bangaru was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.