REVATHI BEDUDOORI – Acute Care Nurse Practitioner, NPI 1073396719

REVATHI BEDUDOORI is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold a License No. 862399 (NV). The NPI Number for REVATHI BEDUDOORI is 1073396719

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
REVATHI BEDUDOORI
NPI
1073396719
Phone
(702) 481-9763
Address
9750 MASPALOMAS ST
Enumeration Date
16 August 2023
Last Update Date
16 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7028779514
Graduation Year
2022 (4 years ago)
PAC ID
7618320060
Group Practice PAC ID
8820994791
Professional Enrollment ID
I20240201001411
Address ID
NV891461256LA5701XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

Provider Addresses for REVATHI BEDUDOORI

  • 9750 MASPALOMAS ST

    LAS VEGAS, NV 891787512

    Phone: (702) 481-9763

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $221.

Total Amount is formed as General ($221) + Research ($0) + Ownership ($0) = $221.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Avadel CNS Pharmaceuticals, LLC ($119).

Total Amount

$221

General + Research + Ownership

Payments

5

Total payment records

General Amount

$221

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

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: 2024-02-01

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
I20240201001411INurse PractitionerNVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89178)

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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: 8820994791View full group profile
NameSpecialtyState
Nurse PractitionerNV
-NV
Sleep Medicine, Pediatric MedicineWA
Nurse PractitionerNV
Sleep Medicine, Internal MedicineCA
Nurse PractitionerNV
Pulmonary Disease, Internal MedicineNV
Nurse PractitionerNV
-NV
-NV

Reviews

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Frequently asked questions

How do I look up REVATHI BEDUDOORI by NPI?
Use NPI 1073396719 when you need to reference REVATHI BEDUDOORI in forms, claims, or directories.
Is REVATHI BEDUDOORI active in the national directory?
REVATHI BEDUDOORI's public NPI profile is in an active state.
What kind of provider is REVATHI BEDUDOORI?
The page reflects Acute Care Nurse Practitioner for REVATHI BEDUDOORI. Clinical services aligned with this taxonomy classification.
Does REVATHI BEDUDOORI practice in Nevada?
You will see Las Vegas, Nevada on file for REVATHI BEDUDOORI alongside any extra practice locations.
What if Las Vegas, Nevada seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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