Bobby Nibhanupudy, MD is a medicare enrolled "Transplant Surgery" physician in Orlando, Florida. His current practice location is
2415 N Orange Ave Ste 700, Orlando, Florida. You can reach out to his office (for appointments etc.) via phone at
(407) 303-2474.
Bobby Nibhanupudy is licensed to practice in Florida (license number ME84158) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407956725.
Physician's Profile
| Full Name | Bobby Nibhanupudy |
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| Gender | Male |
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| Speciality | Transplant Surgery |
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| Location | 2415 N Orange Ave Ste 700, Orlando, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407956725
- Provider Enumeration Date: 09/25/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 6002877602
- Enrollment ID: I20041026000503
Medical Identifiers
Medical identifiers for Bobby Nibhanupudy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407956725 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | ME84158 (Florida) | Secondary |
| 204F00000X | Transplant Surgery | ME84158 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bobby Nibhanupudy allows following entities to bill medicare on his behalf.
| Entity Name | Florida Hospital Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
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| Entity Name | Adventist Health System-sunbelt Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780777391 PECOS PAC ID: 4082602214 Enrollment ID: O20040505000557 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bobby Nibhanupudy is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Bobby Nibhanupudy, MD 2415 N Orange Ave Suite 700, Orlando, FL 32804 Ph: (407) 303-2474 | Bobby Nibhanupudy, MD 2415 N Orange Ave Ste 700, Orlando, FL 32804-5521 Ph: (407) 303-2474 |
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