VASUDEVA R BOMMINENI (M.D.) – Nephrology Physician, NPI 1770576845

VASUDEVA R BOMMINENI (M.D.) is a healthcare provider. based in Winter park, Florida. specializing in NEPHROLOGY. They hold the professional credentials M.D.. They hold a License No. ME0079940 (FL). The NPI Number for VASUDEVA R BOMMINENI (M.D.) is 1770576845

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
VASUDEVA R BOMMINENI (M.D.)
NPI
1770576845
Phone
(407) 894-4693
Address
807 S ORLANDO AVE
Enumeration Date
24 August 2005
Last Update Date
22 February 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4078944693
Graduation Year
1985 (41 years ago)
PAC ID
7214988823
Group Practice PAC ID
2567359375
Professional Enrollment ID
I20050201000507
Address ID
FL328044674OR2501XAVEX407
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

796 NEPHROLOGY in FL

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Provider Addresses for VASUDEVA R BOMMINENI (M.D.)

  • 807, Orlando Avenue, Winter Park, Orange County, Florida, 32789, United States

    SUITE C

    WINTER PARK, FL 327894870

    Phone: (407) 894-4693

    Fax: (407) 539-0469

    Type: Mailing

  • 685, Palm Springs Drive, Altamonte Springs, Seminole County, Florida, 32701, United States

    SUITE 1B

    ALTAMONTE SPRINGS, FL 327017853

    Phone: (407) 339-4447

    Fax: (407) 339-6649

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $449.

Total Amount is formed as General ($449) + Research ($0) + Ownership ($0) = $449.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($189).

Total Amount

$449

General + Research + Ownership

Payments

22

Total payment records

General Amount

$449

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2005-02-01

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
I20050201000507INephrologyFLTBD

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
Q5106Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units1,60016$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes780244$0
99214Established patient office or other outpatient visit, 30-39 minutes720403$0
90935Hemodialysis procedure with physician evaluation29277$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes273134$0
View full utilization report →

Insurance plans in this area (ZIP 32789)

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Provider's Procedures

VASUDEVA R BOMMINENI (M.D.) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYFL83036Hemoglobin A1C level1514
NEPHROLOGYFL90935Hemodialysis procedure with one physician evaluation420116
NEPHROLOGYFL90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older5736

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: 2567359375View full group profile
NameSpecialtyState
N E P H R O L O G YFL
Nurse PractitionerFL
-FL
Internal MedicineFL
N E P H R O L O G YFL
N E P H R O L O G YFL
N E P H R O L O G YFL
Physician AssistantFL
Nurse PractitionerFL
N E P H R O L O G YFL

Reviews

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Frequently asked questions

Does VASUDEVA R BOMMINENI (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — VASUDEVA R BOMMINENI (M.D.) uses 1770576845.
Is VASUDEVA R BOMMINENI (M.D.) still practicing?
VASUDEVA R BOMMINENI (M.D.) is currently listed as active in the public NPI registry.
What healthcare role does VASUDEVA R BOMMINENI (M.D.) hold?
Scheduling teams often label VASUDEVA R BOMMINENI (M.D.) under Nephrology Physician. Clinical services aligned with this taxonomy classification.
What area does VASUDEVA R BOMMINENI (M.D.) serve?
VASUDEVA R BOMMINENI (M.D.)'s listing highlights Winter Park, Florida; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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