BHAVANI PEDDAGOVINDU (MD) – Internal Medicine Physician, NPI 1013167303

BHAVANI PEDDAGOVINDU (MD) is a healthcare provider. based in Coos bay, Oregon. specializing in INTERNAL MEDICINE, GERIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. MD158124 (OR). The NPI Number for BHAVANI PEDDAGOVINDU (MD) is 1013167303

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
BHAVANI PEDDAGOVINDU (MD)
NPI
1013167303
Phone
(541) 267-5151
Address
1900 WOODLAND DR
Enumeration Date
24 September 2008
Last Update Date
1 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5412698103
Graduation Year
2003 (23 years ago)
PAC ID
0446406334
Group Practice PAC ID
2163331000
Professional Enrollment ID
I20120808000727
Address ID
OR974202134CO2650XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,474 INTERNAL MEDICINE in OR

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Provider Addresses for BHAVANI PEDDAGOVINDU (MD)

  • North Bend Medical Center, 1900, Woodland Drive, Coos Bay, Coos County, Oregon, 97420, United States

    COOS BAY, OR 974202045

    Phone: (541) 267-5151

    Fax: (541) 266-4572

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-08-08

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
I20120808000727IInternal MedicineORTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes19579$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes17292$0
99239Hospital discharge day management, more than 30 minutes9994$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4343$0
99291Critical care, first 30-74 minutes2516$0
View full utilization report →

Insurance plans in this area (ZIP 97420)

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Provider's Procedures

BHAVANI PEDDAGOVINDU (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEOR93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report5350

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: 2163331000View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AZ
Cardiovascular Disease (Cardiology), Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
N E U R O L O G YOR
Physician AssistantMI
Cardiovascular Disease (Cardiology)CA
Cardiovascular Disease (Cardiology)ME
Certified Registered Nurse Anesthetist (Crna)MD
Cardiovascular Disease (Cardiology)WA
Certified Registered Nurse Anesthetist (Crna)MT
Cardiovascular Disease (Cardiology)MS

Reviews

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Frequently asked questions

Can I cross-check BHAVANI PEDDAGOVINDU (MD) using NPI 1013167303?
NPI 1013167303 belongs to BHAVANI PEDDAGOVINDU (MD); compare other details if you need extra assurance.
Is BHAVANI PEDDAGOVINDU (MD) still an active registrant?
BHAVANI PEDDAGOVINDU (MD) carries an active NPI according to the public dataset.
How would a patient describe BHAVANI PEDDAGOVINDU (MD)'s focus?
For BHAVANI PEDDAGOVINDU (MD), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Oregon is BHAVANI PEDDAGOVINDU (MD) registered?
Use Coos Bay, Oregon as the headline location for BHAVANI PEDDAGOVINDU (MD) here.
When was this NPI issued?
Enumeration for BHAVANI PEDDAGOVINDU (MD) is noted as September 24, 2008 where the registry provides it.

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