RAGHAVA SHREE KAVALLA MD
NPI 1891109203
Pediatrics in Vineland, NJ

Q: What is Raghava Kavalla's NPI number?

The NPI number for Raghava Kavalla is 1891109203. It was assigned to this individual provider in the NPPES registry on June 13, 2014.

Q: What is Raghava Kavalla's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Raghava Kavalla was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 13, 2014PECOS Enrolled

1505 W SHERMAN AVE, VINELAND, NJ 08360(856) 845-0100 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Dec 31, 2020, Mar 17, 2018 (3 updates tracked since 2018).

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About Raghava Shree Kavalla Md NPPES

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

RAGHAVA SHREE KAVALLA MD (NPI 1891109203) is an individual pediatrics provider in Vineland, New Jersey, licensed in New Jersey (25MA10962500) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1891109203

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameRAGHAVA SHREE KAVALLACredential: MD

Location Address1505 W SHERMAN AVEVineland, NJ 08360-7059

Mailing AddressPo Box 191Rockland, DE 19732-0191

Phone(856) 845-0100

Sole ProprietorNo

Enumeration DateJune 13, 2014

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

NPPES CertifiedDecember 31, 2020

✔ NPI 1891109203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NJ · 25MA10962500

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.

Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 272925 (MA)

1505 W SHERMAN AVE, Vineland, NJ 08360

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Secondary Practice Locations 2

Location 15501 Old York RdPhiladelphia, PA 19141-3018 · Phone (215) 456-7595 · Fax (215) 456-3436

Location 2800 Washington StreetBoston, MA 02111-3018 · Phone (617) 636-8738 · Fax (617) 636-1456

Other Identifiers 1

Medicaid272925MA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raghava Shree Kavalla 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 08360 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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.

MARK STEVEN ARROYO PHARMD

Pharmacist

1505 W SHERMAN AVE, DEPT OF PHARMACY
VINELAND, NJ 08360

Cumberland County (856) 641-7557

VICTORIA MARIE MARSHALL

Nurse Anesthetist, Certified Registered