DR. REVATI BHASKER REDDY MD
NPI 1790147213
Internal Medicine - Interventional Cardiology in Longview, WA

Q: What is Revati Reddy's NPI number?

The NPI number for Revati Reddy is 1790147213. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Q: What is Revati Reddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Revati Reddy was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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 March 23, 2016PECOS Enrolled

1615 DELAWARE ST, LONGVIEW, WA 98632(360) 414-2730(360) 414-2739 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2026, Aug 22, 2023, May 9, 2022 and 4 more (7 updates tracked since 2016).

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About Dr. Revati Bhasker Reddy Md NPPES

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

DR. REVATI BHASKER REDDY MD (NPI 1790147213) is an individual interventional cardiology provider in Longview, Washington, licensed in Washington (70146370) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1790147213

Entity TypeIndividualFemale

Primary Taxonomy207RI0011X

Provider Legal NameDR. REVATI BHASKER REDDYCredential: MD

Location Address1615 DELAWARE STLongview, WA 98632-2367

Mailing AddressMsc10 5550 1 University Of New MexicoAlbuquerque, NM 87131-0001

Phone(360) 414-2730

Fax(360) 414-2739

Sole ProprietorNo

Enumeration DateMarch 23, 2016

Last NPPES UpdateAugust 5, 20267 updates tracked since enumeration

NPPES CertifiedAugust 5, 2026

✔ NPI 1790147213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in WA · 70146370

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD2022-0564 (NM), ME138137 (FL)

Also ListedHospitalistTaxonomy 208M00000X · License ME138137 (FL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1615 DELAWARE ST, Longview, WA 98632

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Secondary Practice Locations 4

Location 13001 W Dr Martin Luther King Jr Blvd Fl 3Tampa, FL 33607-6307 · Phone (813) 870-4933 · Fax (813) 870-4887

Location 2Msc10 5550 1 University Of New MexicoAlbuquerque, NM 87131-0001 · Phone (505) 272-4661

Location 35 Tampa General Cir # 750Tampa, FL 33606-3601 · Phone (813) 974-2201

Location 41 Tampa General CirTampa, FL 33606-3571 · Phone (813) 974-2201

Other Identifiers 2

Other9S27JFL · Blue Cross Blue Shield

Medicaid104342400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Revati Bhasker Reddy 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.

Medicare Billing Reassignments

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

Southwest Medical Associates, LLC

1,141 mi

General Practice

6701 JEFFERSON ST NE
Albuquerque, NM 87109

Reassigned Medicare billing, New Mexico enrollment
554 clinicians in this Medicare group

NPI 1164491072 (505) 727-6200

Baycare Medical Group, Inc.

2,515 mi

General Practice

2995 DREW ST FL 2
Clearwater, FL 33759

Reassigned Medicare billing, Florida enrollment
2,009 clinicians in this Medicare group

NPI 1043269871 (727) 281-9065

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 98632 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

CHOONG R KIM M.D.

Radiology (Radiation Oncology)