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

Q: 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.

Q: What is Babu Bangaru's specialty?

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

Q: 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.

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: October 25, 2026.

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Babu Bangaru reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Faculty Physicians And Surgeons Of Llusm

0.1 mi

Neurology

11234 ANDERSON ST, STE. A233
Loma Linda, CA 92354

Reassigned Medicare billing, California enrollment
2,584 clinicians in this Medicare group

NPI 1801016860 (909) 558-2880

Children's Hospital Los Angeles Medical Group, Inc.

59 mi

Multi-Specialty

4650 SUNSET BLVD
Los Angeles, CA 90027

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
1,281 clinicians in this Medicare group

NPI 1265530653 (323) 361-2337

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

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.

Which organizations bill Medicare for Babu Bangaru's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Babu Bangaru reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA) and Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA). Each 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 Babu Bangaru'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 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.