RAGHAVESH PULLALAREVU MD
NPI 1689985079
Internal Medicine - Nephrology in Royal Oak, MI

Active since June 30, 2010PECOS EnrolledAccepts Medicare Assignment
77.26/100
CMS Quality Rating
3535 W 13 MILE RD STE 644, BEAUMONT MULTI-ORGAN TRANSPLANT CLINIC, ROYAL OAK, MI 48073(800) 253-5592(248) 551-2125 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Raghavesh Pullalarevu Md NPPES

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

RAGHAVESH PULLALAREVU MD (NPI 1689985079) is an individual nephrology provider in Royal Oak, Michigan, licensed in Michigan (4301110236) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Sanford Bemidji Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1689985079
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameRAGHAVESH PULLALAREVUCredential: MD
Location Address3535 W 13 MILE RD STE 644, BEAUMONT MULTI-ORGAN TRANSPLANT CLINICRoyal Oak, MI 48073-6770
Mailing Address130 Town Center Dr Ste 203, Beaumont Medical Staff AffairsTroy, MI 48084-1744 · (248) 585-8218 · Fax (248) 585-8266
Fax(248) 551-2125
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 30, 2010
Last NPPES UpdateJune 23, 2016
NPI 1689985079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in MI · 4301110236
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License MT 198189 (PA)
3535 W 13 MILE RD STE 644, Royal Oak, MI 48073

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Raghavesh Pullalarevu Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446408868
PECOS Enrollment IDI20181102002187, I20181206000275
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
373 services179 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
191 services52 patients
Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
114 services62 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
96 services44 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
80 services47 patients
Initial hospital inpatient care per day, typically 50 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
57 services57 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Bemidji Medical Center

Acute Care Hospitals · Bemidji, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240100
Location1300 Anne St NWBemidji, MN 56601 · Beltrami County
Emergency services Birthing friendly

Stevens Community Medical Center

Critical Access Hospitals · Morris, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241363
Location400 East First StreetMorris, MN 56267 · Stevens County
Emergency services Birthing friendly

Perham Health

Critical Access Hospitals · Perham, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241373
Location1000 Coney Street WestPerham, MN 56573 · Otter Tail County
Emergency services

Sanford Thief River Falls Medical Center

Critical Access Hospitals · Thief River Falls, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241381
Location3001 Sanford ParkwayThief River Falls, MN 56701 · Pennington County
Emergency services

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.8
Promoting Interoperability97
Improvement Activities40
Cost38.9

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
6 suppliers53 claims18,176 services$1.20 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
46 suppliers716 claims58,481 services$0.30 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
20 suppliers252 claims34,895 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims1,080 services$0.60 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
36 suppliers451 claims81,390 services$0.19 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
12 suppliers164 claims23,384 services$0.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Internal Medicine (Nephrology)
3535 W 13 MILE RD STE 644, BEAUMONT MULTI-ORGAN TRANSPLANT CLINIC
ROYAL OAK, MI 48073
Nurse Practitioner
3535 W 13 MILE RD STE 644
ROYAL OAK, MI 48073
Nurse Practitioner (Adult Health)
3535 W 13 MILE RD STE 644
ROYAL OAK, MI 48073
Nurse Practitioner (Acute Care)
3535 W 13 MILE RD STE 644
ROYAL OAK, MI 48073
Nurse Practitioner
3535 W 13 MILE RD STE 644
ROYAL OAK, MI 48073
Internal Medicine (Nephrology)
3535 W 13 MILE RD STE 644
ROYAL OAK, MI 48073
Surgery
3535 W 13 MILE RD STE 644
ROYAL OAK, MI 48073
Internal Medicine (Nephrology)
3535 W 13 MILE RD STE 644
ROYAL OAK, MI 48073

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 Raghavesh Pullalarevu's NPI number?

The NPI number for Raghavesh Pullalarevu is 1689985079. It was assigned to this individual provider in the NPPES registry on June 30, 2010.

Where is Raghavesh Pullalarevu located?

Raghavesh Pullalarevu practices at 3535 W 13 Mile Rd Ste 644 Beaumont Multi-Organ Transplant Clinic, Royal Oak, MI 48073. The listed phone number is (800) 253-5592.

What is Raghavesh Pullalarevu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Raghavesh Pullalarevu enrolled in Medicare?

Yes. Raghavesh Pullalarevu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Raghavesh Pullalarevu accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and Security Health Plan list Raghavesh Pullalarevu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Raghavesh Pullalarevu affiliated with any hospitals?

According to CMS data, Raghavesh Pullalarevu is affiliated with Sanford Bemidji Medical Center, Stevens Community Medical Center, Perham Health, Sanford Thief River Falls Medical Center and Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Raghavesh Pullalarevu was last updated on June 23, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.