KSHAMA BHYRAVABHOTLA MD
NPI 1932604758
Internal Medicine - Pulmonary Disease in Dalton, GA
About Kshama Bhyravabhotla Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KSHAMA BHYRAVABHOTLA MD (NPI 1932604758) is an individual pulmonary disease provider in Dalton, Georgia, licensed in Georgia (114673) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dalton, and is a graduate of Morehouse School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kshama Bhyravabhotla 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.
Medicare Billing Reassignment
Medicare enrollment records show Kshama Bhyravabhotla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32224
- Reassigned Medicare billing, Florida enrollment
- 1,828 clinicians in this Medicare group
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 30720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DALTON, GA 30720
DALTON, GA 30720
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 Kshama Bhyravabhotla's NPI number?
The NPI number for Kshama Bhyravabhotla is 1932604758. It was assigned to this individual provider in the NPPES registry on March 25, 2018.
Where is Kshama Bhyravabhotla located?
Kshama Bhyravabhotla practices at 1107 Memorial Dr Ste 100, Dalton, GA 30720. The listed phone number is (706) 529-3072.
What is Kshama Bhyravabhotla's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Kshama Bhyravabhotla enrolled in Medicare?
Yes. Kshama Bhyravabhotla 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.
Which organization bills Medicare for Kshama Bhyravabhotla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kshama Bhyravabhotla reassigns Medicare benefits to Mayo Clinic Jacksonville (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kshama Bhyravabhotla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kshama Bhyravabhotla was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.
# Kshama Bhyravabhotla, MD · NPI 1932604758
Pulmonary Disease physician in Dalton, Georgia. Individual provider, active in the CMS NPPES registry since March 25, 2018.
## Identity
- **NPI:** 1932604758 (Entity type: Individual)
- **Enumerated:** March 25, 2018
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** 114673 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1107 MEMORIAL DR STE 100, Dalton, GA 30720-8662
- **Phone:** (706) 529-3072 · **Fax:** (706) 529-3077
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mayo Clinic Jacksonville (NPI 1174143986, Jacksonville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Morehouse School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** October 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1932604758) · Data from the CMS NPPES public registry.