RAVINDRA BOLLU (M.D.) – Nephrology Physician, NPI 1194716845

RAVINDRA BOLLU (M.D.) is a healthcare provider. based in Allentown, Pennsylvania. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD067449L (PA). The NPI Number for RAVINDRA BOLLU (M.D.) is 1194716845

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
RAVINDRA BOLLU (M.D.)
NPI
1194716845
Phone
(610) 402-8506
Address
1250 S Cedar Crest Blvd Ste 210
Enumeration Date
2 November 2005
Last Update Date
28 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5704249443
Graduation Year
1987 (39 years ago)
PAC ID
4789678145
Group Practice PAC ID
9931450079
Professional Enrollment ID
I20101104000278
Address ID
PA183013006EX292XXSTXX400
Telehealth
Yes

Contacts

Secure Messaging
rbollu12130@directacumenmd.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

738 NEPHROLOGY in PA

Provider Addresses for RAVINDRA BOLLU (M.D.)

  • 1250 S Cedar Crest Blvd Ste 210

    Allentown, PA 181036271

    Phone: (610) 402-8506

    Type: Location

  • South Cedar Crest Boulevard, Bungalow Park, Cetronia, South Whitehall Township, Lehigh County, Pennsylvania, 18104, United States

    ALLENTOWN, PA 181036212

    Phone: (610) 432-4529

    Fax: (610) 432-2206

    Type: Mailing

  • 1230 S CEDAR CREST BLVD STES 301, 302, 304

    ALLENTOWN, PA 181036212

    Phone: (610) 432-4529

    Fax: (610) 432-2206

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $144.

Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($63).

Total Amount

$144

General + Research + Ownership

Payments

3

Total payment records

General Amount

$144

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2010-11-04

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
I20101104000278INephrologyPATBD

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 minutes553198$0
99215Established patient office or other outpatient visit, 40-54 minutes207112$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13580$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)10124$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4039$0
View full utilization report →

Insurance plans in this area (ZIP 18103)

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Provider's Procedures

RAVINDRA BOLLU (M.D.) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYPA90935Hemodialysis procedure with one physician evaluation16095
NEPHROLOGYPA90966Home dialysis services per month, patient 20 years of age or older10915

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: 9931450079View full group profile
NameSpecialtyState
Nephrology, Internal MedicinePA
Nephrology, Internal MedicinePA
Nephrology, Internal MedicinePA
-PA
-PA
-DC
N E P H R O L O G YPA
Nephrology, Internal MedicinePA
N E P H R O L O G YPA
N E P H R O L O G YPA

Reviews

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Frequently asked questions

What federal number belongs to RAVINDRA BOLLU (M.D.)?
The federal identifier for RAVINDRA BOLLU (M.D.) is NPI 1194716845.
Is RAVINDRA BOLLU (M.D.)'s NPI currently valid?
The extract we use shows RAVINDRA BOLLU (M.D.) as active.
What field does RAVINDRA BOLLU (M.D.) work in?
You can think of RAVINDRA BOLLU (M.D.) as practicing within Nephrology Physician. Clinical services aligned with this taxonomy classification.
Does RAVINDRA BOLLU (M.D.) practice in Pennsylvania?
You will see Allentown, Pennsylvania on file for RAVINDRA BOLLU (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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