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TEJASWINI BANDARU MD
NPI 1558970194
Pediatrics in Modesto, CA

Active since July 29, 2020PECOS Enrolled
1114 6TH ST, MODESTO, CA 95354(209) 576-2845(209) 576-8842 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 23, 2023, Jul 29, 2020 (2 updates tracked since 2020).

About Tejaswini Bandaru Md NPPES

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

TEJASWINI BANDARU MD (NPI 1558970194) is an individual pediatrics provider in Modesto, California, licensed in California (186281) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558970194
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTEJASWINI BANDARUCredential: MD
Location Address1114 6TH STModesto, CA 95354-2203
Mailing Address737 W Childs AveMerced, CA 95341-6805 · (209) 384-6481 · Fax (209) 359-2045
Phone(209) 576-2845
Fax(209) 576-8842
Sole ProprietorNo
Enumeration DateJuly 29, 2020
Last NPPES UpdateOctober 23, 20232 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
✔ NPI 1558970194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 186281
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1114 6TH ST, Modesto, CA 95354
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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)

Tejaswini Bandaru 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95354 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 20

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

GOLDEN VALLEY HEALTH CENTERS
Physician Assistant (Medical)
1114 6TH ST
MODESTO, CA 95354
Stanislaus County (209) 576-2845
KAMALPREET KAUR FNP
Nurse Practitioner
1114 6TH ST
MODESTO, CA 95354
Stanislaus County (209) 576-2845
NATASHA NEELUM DOUGLASS FNP
Nurse Practitioner (Family)
1114 6TH ST
MODESTO, CA 95354
Stanislaus County (209) 576-2845
PAUL TUGULUMIZE KIRUUTA FNP
Nurse Practitioner (Family)
1114 6TH ST
MODESTO, CA 95354
Stanislaus County (209) 576-2845
ARLENE ALEXANDRA ACOSTA
Social Worker (Clinical)
1114 6TH ST
MODESTO, CA 95354
Stanislaus County (209) 722-4842
DR. LAURA A. STALLONE MD
Obstetrics & Gynecology
1114 6TH ST
MODESTO, CA 95354
Stanislaus County (209) 576-2845
GUADALUPE LOPEZ
Social Worker (Clinical)
1114 6TH ST
MODESTO, CA 95354
Stanislaus County (209) 576-2845
NATALIE ANGELE MATTOS PA
Physician Assistant (Medical)
1114 6TH ST
MODESTO, CA 95354
Stanislaus County (209) 576-2845

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 Tejaswini Bandaru's NPI number?

The NPI number for Tejaswini Bandaru is 1558970194. It was assigned to this individual provider in the NPPES registry on July 29, 2020.

Where is Tejaswini Bandaru located?

Tejaswini Bandaru practices at 1114 6th St, Modesto, CA 95354. The listed phone number is (209) 576-2845.

What is Tejaswini Bandaru's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tejaswini Bandaru enrolled in Medicare?

Yes. Tejaswini Bandaru is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tejaswini Bandaru was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.