POOJITHA REDDY BERAVOL (M.D.) – Nephrology Physician, NPI 1073749396

POOJITHA REDDY BERAVOL (M.D.) is a healthcare provider. based in La crosse, Wisconsin. specializing in INTERNAL MEDICINE, NEPHROLOGY. They hold the professional credentials M.D.. They hold a License No. 1343 (WI). The NPI Number for POOJITHA REDDY BERAVOL (M.D.) is 1073749396

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
POOJITHA REDDY BERAVOL (M.D.)
NPI
1073749396
Phone
(608) 782-7300
Address
1836 South Ave
Enumeration Date
1 June 2009
Last Update Date
21 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5096638711
Graduation Year
2009 (17 years ago)
PAC ID
3072828201
Group Practice PAC ID
4880504596
Professional Enrollment ID
I20170721001573
Address ID
WA988012028WE820XXAVEX400
Telehealth
Yes

Contacts

Secure Messaging
pberavol235062@samhealth.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:17State licenses:3Other namesUpdated within 12 months

2,939 INTERNAL MEDICINE in WI

Provider Addresses for POOJITHA REDDY BERAVOL (M.D.)

  • 1836 South Ave

    LA Crosse, WI 546015429

    Phone: (608) 782-7300

    Type: Location

  • Northwest Samaritan Drive, Corvallis, Benton County, Oregon, 97330, United States

    SUITE 203

    CORVALLIS, OR 973303783

    Phone: (541) 768-6930

    Type: Mailing

  • PO BOX 1189

    CORVALLIS, OR 973391189

    Phone:

    Type: Mailing

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: 2025-04-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 9 Medicare enrollment records; no due dates published yet.

Enrollment records

9

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
I20170721001573INephrologyWATBD
I20200827000712INephrologyMTTBD
I20220126001554INephrologyWITBD
I20241210003854IInternal MedicineNMTBD
I20250106000400IInternal MedicineARTBD
I20250228002752IInternal MedicineFLTBD
I20250317002898IInternal MedicineOHTBD
I20250403003626IInternal MedicineALTBD
I20250416001787IInternal MedicineVATBD

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 minutes368106$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes7471$0
90935Hemodialysis procedure with physician evaluation5935$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5232$0
G0408Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth3721$0
View full utilization report →

Insurance plans in this area (ZIP 54601)

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Provider's Procedures

POOJITHA REDDY BERAVOL (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYOR90966Home dialysis services per month, patient 20 years of age or older3115

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: 4880504596View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineWA
Internal MedicineWA
-WA
P S Y C H I A T R YWA
O B S T E T R I C S/ G Y N E C O L O G YMT
Nurse PractitionerWA
Emergency MedicineWA
U R O L O G YWA
Family PracticeWA
-WA

Reviews

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Frequently asked questions

Is POOJITHA REDDY BERAVOL (M.D.) listed with a National Provider Identifier?
Yes — POOJITHA REDDY BERAVOL (M.D.) has NPI 1073749396 on file in the registry.
Is POOJITHA REDDY BERAVOL (M.D.) still an active registrant?
POOJITHA REDDY BERAVOL (M.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for POOJITHA REDDY BERAVOL (M.D.)?
At a glance, POOJITHA REDDY BERAVOL (M.D.) is tied to Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where in Wisconsin is POOJITHA REDDY BERAVOL (M.D.) registered?
Use La Crosse, Wisconsin as the headline location for POOJITHA REDDY BERAVOL (M.D.) here.
Can I trust this NPI listing for POOJITHA REDDY BERAVOL (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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