KANTHI BOMMAREDDY MD
NPI 1942875612
Dermatology in Fort Lauderdale, FL

Active since May 25, 2021PECOS Enrolled
4725 N FEDERAL HWY, FORT LAUDERDALE, FL 33308(347) 506-8938 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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 and maintains a secondary practice location in Rancho Mirage.

NPPES Registry Identity

NPI1942875612
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameKANTHI BOMMAREDDYCredential: MD
Location Address4725 N FEDERAL HWYFort Lauderdale, FL 33308-4603
Mailing Address4725 N Federal HwyFort Lauderdale, FL 33308-4603 · (347) 506-8938
Sole ProprietorNo
Enumeration DateMay 25, 2021
Last NPPES UpdateJune 17, 2026
NPPES CertifiedJune 17, 2026
NPI 1942875612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · A208725
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

4725 N FEDERAL HWY, Fort Lauderdale, FL 33308

Secondary Practice Location 1

Location 142600 Mirage RdRancho Mirage, CA 92270-4127 · Phone (760) 423-4000 · Fax (760) 318-8103

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kanthi Bommareddy 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 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.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
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.

Internal Medicine (Clinical Cardiac Electrophysiology)
4725 N FEDERAL HWY, JIM MORAN HEART CENTER, SUITE 502
FORT LAUDERDALE, FL 33308
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4725 N FEDERAL HWY
FT LAUDERDALE, FL 33308
Radiology (Diagnostic Radiology)
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Radiology (Diagnostic Radiology)
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Radiology (Diagnostic Radiology)
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Radiology (Diagnostic Radiology)
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Radiology (Diagnostic Radiology)
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Radiology (Diagnostic Radiology)
4725 N FEDERAL HWY
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 enrollment system.

When was this NPI record last updated?

The NPPES record for Kanthi Bommareddy was last updated on June 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.