KANUBODDU NAGARJUNA REDDY – Internal Medicine Physician, NPI 1003349820

KANUBODDU NAGARJUNA REDDY is a healthcare provider. based in Vancouver, Washington. specializing in INTERNAL MEDICINE. They hold a License No. ME143491 (FL). The NPI Number for KANUBODDU NAGARJUNA REDDY is 1003349820

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
KANUBODDU NAGARJUNA REDDY
NPI
1003349820
Phone
(360) 882-2778
Address
700 NE 87TH AVE
Enumeration Date
8 April 2017
Last Update Date
15 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3608822778
Graduation Year
2017 (9 years ago)
PAC ID
9234409160
Group Practice PAC ID
3173436490
Professional Enrollment ID
I20210701002212
Address ID
WA986641913VA700XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for KANUBODDU NAGARJUNA REDDY

  • 700 NE 87TH AVE

    VANCOUVER, WA 986644896

    Phone: (360) 882-2778

    Type: Mailing

  • 1300 Miccosukee Rd

    Tallahassee, FL 323085054

    Phone: (850) 431-7900

    Fax: (850) 431-7990

    Type: Location

  • Tallahassee Memorial HealthCare, 1300, Miccosukee Road, Tallahassee, Leon County, Florida, 32308, United States

    TALLAHASSEE, FL 323085054

    Phone: (850) 431-7900

    Type: Mailing

  • 700 NE 87TH AVE STE 220

    VANCOUVER, WA 986644896

    Phone: (360) 882-2778

    Type: Location

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: 2021-07-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200625000748IInternal MedicineFLTBD
I20210701002212IInternal MedicineWATBD

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 minutes3419$0
99213Established patient office or other outpatient visit, 20-29 minutes3229$0
99215Established patient office or other outpatient visit, 40-54 minutes3227$0
36415Insertion of needle into vein for collection of blood sample2215$0
View full utilization report →

Insurance plans in this area (ZIP 98664)

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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: 3173436490View full group profile
NameSpecialtyState
Physician AssistantTN
Internal Medicine, Infectious DiseasePA
Diagnostic RadiologyOR
Internal MedicineOR
O P H T H A L M O L O G YIA
-OR
Nurse PractitionerWA
Nurse PractitionerWA
Interventional Cardiology, Cardiovascular Disease (Cardiology)CA
-WA

Reviews

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Frequently asked questions

What NPI should I save for KANUBODDU NAGARJUNA REDDY?
Save NPI 1003349820 if you need a stable reference for KANUBODDU NAGARJUNA REDDY.
Is KANUBODDU NAGARJUNA REDDY currently active in the NPI registry?
CMS-published data lists KANUBODDU NAGARJUNA REDDY as an active registrant.
What kind of provider is KANUBODDU NAGARJUNA REDDY?
The page reflects Internal Medicine Physician for KANUBODDU NAGARJUNA REDDY. Clinical services aligned with this taxonomy classification.
Where does public data place KANUBODDU NAGARJUNA REDDY?
The snapshot lists Vancouver, Washington for KANUBODDU NAGARJUNA REDDY; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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