Dr Ravali Nagothu, MD in Surprise, AZ - Medicare Internal Medicine

Dr Ravali Nagothu, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Surprise, Arizona. Her current practice location is 14961 W Bell Rd Ste 175, Surprise, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 242-9830.

Dr Ravali Nagothu is licensed to practice in Arizona (license number 73628) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154819613.

Contact Information

	Dr Ravali Nagothu, MD
	14961 W Bell Rd Ste 175, Surprise, AZ 85374-3220
	(623) 242-9830
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ravali Nagothu
Gender	Female
Speciality	Internal Medicine - Pulmonary Disease
Location	14961 W Bell Rd Ste 175, Surprise, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154819613
Provider Enumeration Date: 04/30/2018
Last Update Date: 01/27/2025

Medicare PECOS Information:

PECOS PAC ID: 9234478983
Enrollment ID: I20230324001724

Medical Identifiers

Medical identifiers for Dr Ravali Nagothu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154819613	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	73628 (Arizona)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	42885 (Alabama)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	73628 (Arizona)	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. Dr Ravali Nagothu allows following entities to bill medicare on her behalf.

Entity Name	University Of South Alabama Health Care Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508392432 PECOS PAC ID: 4082986088 Enrollment ID: O20170825003180

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. Dr Ravali Nagothu 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
Dr Ravali Nagothu, MD 14961 W Bell Rd Ste 175, Surprise, AZ 85374-3220 Ph: () -	Dr Ravali Nagothu, MD 14961 W Bell Rd Ste 175, Surprise, AZ 85374-3220 Ph: (623) 242-9830

Reviews and Comments

Internal Medicine Doctors in Surprise, AZ

Mrs. Jagdeep K Bains, M.D Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 13927 W Grand Ave, Suite 401, Surprise, AZ 85374 Phone: 623-544-6963 Fax: 623-975-5486
Dr. Roel Conrad Jamis, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 17674 N Litchfield Rd, Surprise, AZ 85374 Phone: 623-281-3001 Fax: 623-281-3003
Dr. Amardeep Majhail, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 14674 W Mountain View Blvd Ste 100, Surprise, AZ 85374 Phone: 623-600-2406 Fax: 623-900-7878
Zeyad Alsaeedi, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 14961 W Bell Rd Ste 175, Surprise, AZ 85374 Phone: 623-242-9830
Dr. Vijayabhanu Mahadevan, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 12665 W Smokey Dr # 140, #140, Surprise, AZ 85378 Phone: 623-219-4040 Fax: 623-219-4050
Sanjay Saradhi Bommakanti, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 14273 W Grand Ave Ste 100, Surprise, AZ 85374 Phone: 623-428-8189
Dr. Barbara Karolina Bialowolska-romaniuk, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 13945 W Grand Ave, Suite A-105, Surprise, AZ 85374 Phone: 623-546-0007 Fax: 623-584-6915

Dr Ravali Nagothu, MD - Medicare Internal Medicine in Surprise, AZ