RANGARAO PANGULURI (MD) – Gastroenterology Physician, NPI 1619952405

RANGARAO PANGULURI (MD) is a healthcare provider. based in Baldwin park, California. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 4301051147 (MI). The NPI Number for RANGARAO PANGULURI (MD) is 1619952405

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
RANGARAO PANGULURI (MD)
NPI
1619952405
Phone
(626) 960-3016
Address
4111 MAINE AVE
Enumeration Date
14 December 2005
Last Update Date
21 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5172054800
Graduation Year
1976 (50 years ago)
PAC ID
9638078058
Group Practice PAC ID
0244136067
Professional Enrollment ID
I20250122003415
Address ID
MI492011753JA205XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,981 GASTROENTEROLOGY in CA

Provider Addresses for RANGARAO PANGULURI (MD)

  • 4111, Maine Avenue, Baldwin Park, Los Angeles County, California, 91706, United States

    BALDWIN PARK, CA 917063307

    Phone: (626) 960-3016

    Fax: (626) 960-3517

    Type: Mailing

  • 4111 Maine Ave

    Baldwin Park, CA 917063307

    Phone: (626) 960-3016

    Fax: (626) 960-3517

    Type: Location

  • 1 FORD PL STE 3A

    DETROIT, MI 482023450

    Phone: (313) 874-4806

    Fax: (313) 876-1305

    Type: Mailing

  • 205 N EAST AVE

    JACKSON, MI 492011753

    Phone: (517) 205-7836

    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: 2025-01-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20221129003295IGastroenterologyTXTBD
I20250122003415IGastroenterologyMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10048$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4141$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope3030$0
View full utilization report →

Insurance plans in this area (ZIP 91706)

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Provider's Procedures

RANGARAO PANGULURI (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYCA43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope1717

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: 0244136067View full group profile

Reviews

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Frequently asked questions

Is RANGARAO PANGULURI (MD) listed with a National Provider Identifier?
Yes — RANGARAO PANGULURI (MD) has NPI 1619952405 on file in the registry.
Is RANGARAO PANGULURI (MD) still an active registrant?
RANGARAO PANGULURI (MD) carries an active NPI according to the public dataset.
What area of care is associated with RANGARAO PANGULURI (MD)?
RANGARAO PANGULURI (MD)'s record emphasizes Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Is RANGARAO PANGULURI (MD) located near Baldwin Park?
RANGARAO PANGULURI (MD) currently maps to Baldwin Park, California in this extract.
When was this NPI issued?
Enumeration for RANGARAO PANGULURI (MD) is noted as December 14, 2005 where the registry provides it.

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