Dr Vanitha Banajjar Revanasiddappa, MD in Charlotte, NC

Dr Vanitha Banajjar Revanasiddappa, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Charlotte, North Carolina. She graduated from medical school in 2008 and has 17 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Golden Valley Health Centers and her current practice location is 1718 E 4th St Ste 907, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 372-4000.

Dr Vanitha Banajjar Revanasiddappa is licensed to practice in North Carolina (license number 2025-01298) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669856217.

Contact Information

	Dr Vanitha Banajjar Revanasiddappa, MD
	1718 E 4th St Ste 907, Charlotte, NC 28204-3282
	(704) 372-4000
	(704) 334-4855

Map and Direction

Physician's Profile

Full Name	Dr Vanitha Banajjar Revanasiddappa
Gender	Female
Speciality	Obstetrics/gynecology
Experience	17 Years
Location	1718 E 4th St Ste 907, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Vanitha Banajjar Revanasiddappa graduated from medical school in 2008

NPI Data:

NPI Number: 1669856217
Provider Enumeration Date: 07/14/2015
Last Update Date: 10/28/2025

Medicare PECOS Information:

PECOS PAC ID: 0941532188
Enrollment ID: I20191021003200

Medical Identifiers

Medical identifiers for Dr Vanitha Banajjar Revanasiddappa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669856217	NPI	-	NPPES
1669856217	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	2025-01298 (North Carolina)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207V00000X	Obstetrics & Gynecology	A162179 (California)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Golden Valley Health Centers	4183527187	92

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 Vanitha Banajjar Revanasiddappa allows following entities to bill medicare on her behalf.

Entity Name	Golden Valley Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356445753 PECOS PAC ID: 4183527187 Enrollment ID: O20040128000641

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 Vanitha Banajjar Revanasiddappa 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 Vanitha Banajjar Revanasiddappa, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: () -	Dr Vanitha Banajjar Revanasiddappa, MD 1718 E 4th St Ste 907, Charlotte, NC 28204-3282 Ph: (704) 372-4000

Reviews and Comments

Obstetrics & Gynecology Doctors in Charlotte, NC

Jackie Alan Lucas, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1025 Morehead Medical Dr, Ste 450, Charlotte, NC 28204 Phone: 704-446-7800
Lynn Amy Boardman, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1544
Dr. Simon Vivian Ward Iii, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1918 Randolph Rd, Suite 670, Charlotte, NC 28207 Phone: 704-384-1620 Fax: 704-384-1626
Curtis Lee Flood, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1901 E 5th St, Charlotte, NC 28204 Phone: 980-367-4363 Fax: 704-384-1644
Grant Blanchard, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1544
Roland Pixley, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1025 Morehead Medical Dr, Ste 400, Charlotte, NC 28204 Phone: 704-446-1700
Katherine Elizabeth Akeley, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4525 Cameron Valley Pkwy Ste 2500, Charlotte, NC 28211 Phone: 704-446-1700

Dr Vanitha Banajjar Revanasiddappa, MD - Medicare Obstetrics/gynecology in Charlotte, NC