KANTHI BOMMAREDDY MD
NPI 1942875612
Dermatology in Fort Lauderdale, FL
About Kanthi Bommareddy Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KANTHI BOMMAREDDY MD (NPI 1942875612) is an individual dermatology provider in Fort Lauderdale, Florida, licensed in California (A208725) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rancho Mirage, and is a graduate of Albany Medical College Of Union University (2021).
NPPES Registry Identity
Specialties & Licenses
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
Kanthi Bommareddy 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 Kanthi Bommareddy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rancho Mirage, CA 92270
- Reassigned Medicare billing, California enrollment
- 24 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 33308 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FT LAUDERDALE, FL 33308
FORT LAUDERDALE, FL 33308
FORT LAUDERDALE, FL 33308
FORT LAUDERDALE, FL 33308
FORT LAUDERDALE, FL 33308
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 Kanthi Bommareddy's NPI number?
The NPI number for Kanthi Bommareddy is 1942875612. It was assigned to this individual provider in the NPPES registry on May 25, 2021.
Where is Kanthi Bommareddy located?
Kanthi Bommareddy practices at 4725 N Federal Hwy, Fort Lauderdale, FL 33308. The listed phone number is (347) 506-8938.
What is Kanthi Bommareddy's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Kanthi Bommareddy enrolled in Medicare?
Yes. Kanthi Bommareddy 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 Kanthi Bommareddy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kanthi Bommareddy reassigns Medicare benefits to Contour Dermatology And Cosmetic Surgery Medical Center, Apc (Rancho Mirage, CA). 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 Kanthi Bommareddy'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 Kanthi Bommareddy was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kanthi Bommareddy, MD · NPI 1942875612
Dermatology physician in Fort Lauderdale, Florida. Individual provider, active in the CMS NPPES registry since May 25, 2021.
## Identity
- **NPI:** 1942875612 (Entity type: Individual)
- **Enumerated:** May 25, 2021
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** A208725 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4725 N FEDERAL HWY, Fort Lauderdale, FL 33308-4603
- **Phone:** (347) 506-8938
## 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:** Contour Dermatology And Cosmetic Surgery Medical Center, Apc (NPI 1063502227, Rancho Mirage, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Albany Medical College Of Union University, class of 2021
## Record status
- **NPPES last updated:** June 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1942875612) · Data from the CMS NPPES public registry.