DR. BHASKAR NANDIMANDALAM RAJU (M.D.) – Child & Adolescent Psychiatry Physician, NPI 1558397620

DR. BHASKAR NANDIMANDALAM RAJU (M.D.) is a healthcare provider. based in Kissimmee, Florida. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. ME91130 (FL). The NPI Number for DR. BHASKAR NANDIMANDALAM RAJU (M.D.) is 1558397620

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. BHASKAR NANDIMANDALAM RAJU (M.D.)
NPI
1558397620
Phone
(407) 851-5121
Address
102 Park Place Blvd Ste D1
Enumeration Date
23 June 2006
Last Update Date
16 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4078515121
Graduation Year
1993 (33 years ago)
PAC ID
7810934957
Group Practice PAC ID
1153367545
Professional Enrollment ID
I20050411001041
Address ID
FL328099140OR2345XRDXX401
Telehealth
Yes
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

1,954 PSYCHIATRY in FL

Provider Addresses for DR. BHASKAR NANDIMANDALAM RAJU (M.D.)

  • 102 Park Place Blvd Ste D1

    Kissimmee, FL 347412358

    Phone: (407) 851-5121

    Fax: (407) 851-0439

    Type: Location

  • 4106 W Lake Mary Blvd Ste 205

    Lake Mary, FL 327463344

    Phone: (407) 851-5121

    Fax: (407) 851-0439

    Type: Location

  • 1500 Lakeland Hills Blvd Ste 2

    Lakeland, FL 338053257

    Phone: (407) 851-5121

    Fax: (407) 851-0439

    Type: Location

  • 1551 Boren Dr Ste C

    Ocoee, FL 347612966

    Phone: (407) 851-5121

    Fax: (407) 851-0439

    Type: Location

  • 2345, Sand Lake Road, Orlando Central Park, Oak Ridge, Orange County, Florida, 32809, United States

    SUITE 200

    ORLANDO, FL 328099142

    Phone: (407) 851-5121

    Fax: (407) 851-0439

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 248 Open Payments records for all available years, with a total value of $4,676.

Total Amount is formed as General ($4,676) + Research ($0) + Ownership ($0) = $4,676.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($835).

Total Amount

$4,676

General + Research + Ownership

Payments

248

Total payment records

General Amount

$4,676

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2005-04-11

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
I20050411001041IPsychiatryFLTBD

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
90833Psychotherapy with evaluation and management visit, 30 minutes1,505330$0
99213Established patient office or other outpatient visit, 20-29 minutes1,051243$0
99214Established patient office or other outpatient visit, 30-39 minutes509113$0
90836Psychotherapy with evaluation and management visit, 45 minutes8282$0
99204New patient office or other outpatient visit, 45-59 minutes8282$0
View full utilization report →

Insurance plans in this area (ZIP 34741)

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Provider's Procedures

DR. BHASKAR NANDIMANDALAM RAJU (M.D.) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYFL90792Psychiatric diagnostic evaluation with medical services7979
PSYCHIATRYFL90836Psychotherapy, 45 minutes with patient and/or family member9170

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: 1153367545View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
P S Y C H I A T R YFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Mental Health CounselorFL

Reviews

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Frequently asked questions

What identifier follows DR. BHASKAR NANDIMANDALAM RAJU (M.D.) across health systems?
The NPI 1558397620 uniquely identifies DR. BHASKAR NANDIMANDALAM RAJU (M.D.) in U.S. healthcare data.
Should I treat DR. BHASKAR NANDIMANDALAM RAJU (M.D.) as an active provider?
Patients and plans typically see DR. BHASKAR NANDIMANDALAM RAJU (M.D.) as active in the national extract.
What does the directory say DR. BHASKAR NANDIMANDALAM RAJU (M.D.) does?
Insurance directories may phrase it differently, but here DR. BHASKAR NANDIMANDALAM RAJU (M.D.) maps to Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is DR. BHASKAR NANDIMANDALAM RAJU (M.D.) tied to Kissimmee, Florida?
If you are local to Kissimmee, Florida, DR. BHASKAR NANDIMANDALAM RAJU (M.D.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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