JYOTHIRMAI BOBBA – Family Medicine Physician, NPI 1710060066

JYOTHIRMAI BOBBA is a healthcare provider. based in Portage, Michigan. specializing in FAMILY PRACTICE. They hold a License No. 4301079796 (MI). The NPI Number for JYOTHIRMAI BOBBA is 1710060066

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
JYOTHIRMAI BOBBA
NPI
1710060066
Phone
(269) 324-8600
Address
7901 Angling Rd
Enumeration Date
23 October 2006
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2692867110
Graduation Year
1998 (28 years ago)
PAC ID
8628012853
Group Practice PAC ID
0244148633
Professional Enrollment ID
I20050617000393
Address ID
MI490099583KA5973XDRXX300
Telehealth
Yes

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

4,418 FAMILY PRACTICE in MI

Provider Addresses for JYOTHIRMAI BOBBA

  • 7901 Angling Rd

    Portage, MI 490240714

    Phone: (269) 324-8600

    Type: Location

  • Stadium Drive, Kalamazoo, Kalamazoo County, Michigan, 49009, United States

    SUITE 1

    KALAMAZOO, MI 490093016

    Phone:

    Type: Mailing

  • Beatrice Drive, Texas Charter Township, Kalamazoo County, Michigan, 49009, United States

    KALAMAZOO, MI 490099583

    Phone: (269) 286-7110

    Fax: (269) 286-7111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 54 Open Payments records for all available years, with a total value of $1,498.

Total Amount is formed as General ($1,498) + Research ($0) + Ownership ($0) = $1,498.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Novo Nordisk Inc ($441).

Total Amount

$1,498

General + Research + Ownership

Payments

54

Total payment records

General Amount

$1,498

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2005-06-17

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
I20050617000393IFamily PracticeMITBD

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 minutes182101$0
99213Established patient office or other outpatient visit, 20-29 minutes2926$0
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit1515$0
99215Established patient office or other outpatient visit, 40-54 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 49024)

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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: 0244148633View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
Hand Surgery, Orthopedic SurgeryMI
Physician AssistantMI
Physician AssistantMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Family PracticeMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Endocrinology, Internal MedicineMI
Clinical Social WorkerMI
Internal MedicineMI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for JYOTHIRMAI BOBBA?
The registry entry for JYOTHIRMAI BOBBA shows NPI 1710060066.
Is JYOTHIRMAI BOBBA currently accepting referrals based on NPI status?
Registry metadata lists JYOTHIRMAI BOBBA as active.
Which specialty label fits JYOTHIRMAI BOBBA?
NPPES ties JYOTHIRMAI BOBBA to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JYOTHIRMAI BOBBA?
JYOTHIRMAI BOBBA is associated with Portage, Michigan in the same public data insurers reference.
Who maintains JYOTHIRMAI BOBBA's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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