THEJASWI BANDIKATLA – Internal Medicine Physician, NPI 1346595139

THEJASWI BANDIKATLA is a healthcare provider. based in Maitland, Florida. specializing in INTERNAL MEDICINE. They hold a License No. 135000 (FL). The NPI Number for THEJASWI BANDIKATLA is 1346595139

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
THEJASWI BANDIKATLA
NPI
1346595139
Phone
(407) 677-4867
Address
590 RUBY CT
Enumeration Date
17 July 2012
Last Update Date
5 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4076774867
Graduation Year
2011 (15 years ago)
PAC ID
6800114919
Group Practice PAC ID
9739282047
Professional Enrollment ID
I20190926002922
Address ID
FL327515226MA590XXCTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for THEJASWI BANDIKATLA

  • 590 RUBY CT

    MAITLAND, FL 327515226

    Phone: (407) 677-4867

    Type: Mailing

  • 2555 S VOLUSIA AVE

    ORANGE CITY, FL 327639116

    Phone: (386) 774-0401

    Type: Mailing

  • 33 W 125th St

    New York, NY 100274512

    Phone: (860) 985-1772

    Type: Location

  • 2555 S Volusia Ave

    Orange City, FL 32763

    Phone: (386) 774-0401

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 203 Open Payments records for all available years, with a total value of $3,877.

Total Amount is formed as General ($3,877) + Research ($0) + Ownership ($0) = $3,877.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($496).

Total Amount

$3,877

General + Research + Ownership

Payments

203

Total payment records

General Amount

$3,877

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2019-09-26

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
I20190926002922IInternal MedicineFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes27682$0
36415Insertion of needle into vein for collection of blood sample10557$0
80061Blood test, lipids (cholesterol and triglycerides)10057$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count9655$0
84439Thyroxine (thyroid chemical), free9456$0
View full utilization report →

Insurance plans in this area (ZIP 32751)

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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: 9739282047View full group profile
NameSpecialtyState
Family PracticeFL
Nurse PractitionerFL
Internal MedicineFL

Reviews

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Frequently asked questions

Does THEJASWI BANDIKATLA share an NPI with anyone else?
NPI numbers are unique to each provider or organization — THEJASWI BANDIKATLA uses 1346595139.
Is THEJASWI BANDIKATLA listed as active for patients and plans?
The listing shows THEJASWI BANDIKATLA as active in the NPI system.
What is THEJASWI BANDIKATLA best known for clinically?
Directory data describes THEJASWI BANDIKATLA with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does THEJASWI BANDIKATLA list a practice location?
Patients near Maitland, Florida may find THEJASWI BANDIKATLA in results; validate coverage separately.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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