HARATHI BANDARU (MD, MS, FACG, FACP) – Neurology Physician, NPI 1629229935

HARATHI BANDARU (MD, MS, FACG, FACP) is a healthcare provider. based in Saint joseph, Missouri. specializing in NEUROLOGY, EMERGENCY MEDICINE, INTERNAL MEDICINE. They hold the professional credentials MD, MS, FACG, FACP. They hold a License No. 2014006971 (MO). The NPI Number for HARATHI BANDARU (MD, MS, FACG, FACP) is 1629229935

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
HARATHI BANDARU (MD, MS, FACG, FACP)
NPI
1629229935
Phone
(816) 271-8182
Address
105 FAR WEST DR STE 201
Enumeration Date
6 October 2008
Last Update Date
20 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8162711067
Graduation Year
2011 (15 years ago)
PAC ID
7315113008
Group Practice PAC ID
6709772767
Professional Enrollment ID
I20140409002082
Address ID
MO645063840SA5202XSTXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

811 NEUROLOGY in MO

Provider Addresses for HARATHI BANDARU (MD, MS, FACG, FACP)

  • 105 FAR WEST DR STE 201

    SAINT JOSEPH, MO 645063514

    Phone: (816) 271-8182

    Fax: (816) 271-0818

    Type: Location

  • 1125 MADISON ST

    JEFFERSON CITY, MO 651015227

    Phone: (573) 632-5570

    Type: Mailing

  • Drive, Faubourg de Cambrai, Valenciennes, Nord, Hauts-de-France, Metropolitan France, 59300, France

    #400

    EL PASO, TX 799025010

    Phone: (848) 250-6700

    Type: Mailing

  • 1125 Madison St

    Jefferson City, MO 651015227

    Phone: (573) 632-5570

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 193 Open Payments records for all available years, with a total value of $3,549.

Total Amount is formed as General ($3,549) + Research ($0) + Ownership ($0) = $3,549.

Last reported payment date: 2024-12-21 • Largest payer in this snapshot: ABBVIE INC. ($772).

Total Amount

$3,549

General + Research + Ownership

Payments

193

Total payment records

General Amount

$3,549

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-21

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: 2014-04-09

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
I20140409002082INeurologyMOTBD

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 minutes230167$0
99215Established patient office or other outpatient visit, 40-54 minutes214136$0
64505Injection of anesthetic agent, trigeminal nerve bundle19418$0
99205New patient office or other outpatient visit, 60-74 minutes7676$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4140$0
View full utilization report →

Insurance plans in this area (ZIP 64506)

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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: 6709772767View full group profile
NameSpecialtyState
Nurse PractitionerIN
Cardiovascular Disease (Cardiology)MO
Family PracticeMO
Certified Clinical Nurse Specialist (Cns)MO
Internal MedicineMO
A N E S T H E S I O L O G YMO
-MO
Nurse PractitionerMO
-MO
-MO

Reviews

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Frequently asked questions

What is the registry number for HARATHI BANDARU (MD, MS, FACG, FACP)?
The registry entry for HARATHI BANDARU (MD, MS, FACG, FACP) shows NPI 1629229935.
Should I treat HARATHI BANDARU (MD, MS, FACG, FACP) as an active provider?
Patients and plans typically see HARATHI BANDARU (MD, MS, FACG, FACP) as active in the national extract.
Which specialty label fits HARATHI BANDARU (MD, MS, FACG, FACP)?
NPPES ties HARATHI BANDARU (MD, MS, FACG, FACP) to Neurology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to HARATHI BANDARU (MD, MS, FACG, FACP)?
HARATHI BANDARU (MD, MS, FACG, FACP) shows a connection to Saint Joseph, Missouri in registry-derived data.
Why is information missing for HARATHI BANDARU (MD, MS, FACG, FACP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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