APPANNAGARI GNANADEV (MD) – Surgery Physician, NPI 1104933985

APPANNAGARI GNANADEV (MD) is a healthcare provider. based in Redlands, California. specializing in GENERAL SURGERY, VASCULAR SURGERY. They hold the professional credentials MD. They hold a License No. 00A357430 (CA). The NPI Number for APPANNAGARI GNANADEV (MD) is 1104933985

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
APPANNAGARI GNANADEV (MD)
NPI
1104933985
Phone
(909) 580-6210
Address
PO BOX 670
Enumeration Date
25 August 2006
Last Update Date
30 September 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9095803353
Graduation Year
1972 (54 years ago)
PAC ID
2769395664
Group Practice PAC ID
4385556687
Professional Enrollment ID
I20090209000619
Address ID
CA923241801CO400XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,317 GENERAL SURGERY in CA

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Provider Addresses for APPANNAGARI GNANADEV (MD)

  • 670, Peony Drive, Grand Junction, Mesa County, Colorado, 81507, United States

    REDLANDS, CA 92373

    Phone: (909) 580-6210

    Fax: (909) 580-1363

    Type: Mailing

  • 400, Pepper Avenue, West Colton, Colton, San Bernardino County, California, 92324, United States

    ARMC MODULAR # 3

    COLTON, CA 923241801

    Phone: (909) 580-6210

    Fax: (909) 580-1363

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-02-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090209000619IGeneral SurgeryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92373)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385556687View full group profile
NameSpecialtyState
-CA
Thoracic Surgery, General SurgeryCA
Surgical Oncology, General SurgeryCA
Vascular SurgeryCA
Vascular Surgery, General SurgeryCA
-CA
General Surgery, Vascular SurgeryCA
Thoracic SurgeryCA
N E U R O S U R G E R YCA
Surgical Oncology, General SurgeryCA

Reviews

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Frequently asked questions

What is the standard ID for APPANNAGARI GNANADEV (MD) in the U.S.?
In the U.S., APPANNAGARI GNANADEV (MD) is identified by NPI 1104933985.
Quick check: is APPANNAGARI GNANADEV (MD) active?
Public NPPES data shows APPANNAGARI GNANADEV (MD) with an active NPI status right now.
What does the directory say APPANNAGARI GNANADEV (MD) does?
Insurance directories may phrase it differently, but here APPANNAGARI GNANADEV (MD) maps to Surgery Physician. Clinical services aligned with this taxonomy classification.
What city is tied to APPANNAGARI GNANADEV (MD)?
The directory associates APPANNAGARI GNANADEV (MD) with Redlands, California. Check all listed addresses for suites or satellite offices.
Who maintains APPANNAGARI GNANADEV (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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