DR. PRAVEEN KUMAR PAVULURU D.M.D
NPI 1467548552
Dentist - General Practice in Bangor, ME

Q: What is Praveen Pavuluru's NPI number?

The NPI number for Praveen Pavuluru is 1467548552. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Q: What is Praveen Pavuluru's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Praveen Pavuluru was last updated on July 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 October 05, 2006PECOS Enrolled

90 RIDGEWOOD DR, BANGOR, ME 04401(207) 262-3744(207) 262-3745 Get Directions Write a Review

NPPES record last updated: July 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Praveen Kumar Pavuluru D.m.d NPPES

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

DR. PRAVEEN KUMAR PAVULURU D.M.D (NPI 1467548552) is an individual general practice provider in Bangor, Maine, licensed in Maine (DEN 3710) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467548552

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. PRAVEEN KUMAR PAVULURUCredential: D.M.D

Location Address90 RIDGEWOOD DRBangor, ME 04401-2652

Mailing Address90 Ridgewood DrBangor, ME 04401-2652 · (207) 262-3744

Phone(207) 262-3744

Fax(207) 262-3745

Sole ProprietorYes

Enumeration DateOctober 5, 2006

Last NPPES UpdateJuly 5, 2016

✔ NPI 1467548552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in ME · DEN 3710

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

90 RIDGEWOOD DR, Bangor, ME 04401

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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. Praveen Kumar Pavuluru D.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 04401 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

$82.58 typical visit price

range $53.26 – $162.77

Typical copayment $20.64 (range $13.31 – $40.69)

Most-billed visit code 99203

Established Patient

$66.74 typical visit price

range $16.90 – $132.79

Typical copayment $16.68 (range $4.22 – $33.19)

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 7

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

DR. JEFFREY DEAN PITTIS M.D.

Dermatology