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POOJITHA REDDY BERAVOL M.D. NPI 1073749396


NPI Information

NPI: 1073749396
Provider Name: POOJITHA REDDY BERAVOL, M.D.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
3615 NW SAMARITAN DR
SUITE 203
CORVALLIS, OR
ZIP 97330
Phone: (541) 768-6930
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Poojitha Reddy Beravol, M.D. is a nephrology internal medicine in Corvallis, OR with 15 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Poojitha Reddy Beravol, M.D. NPI is 1073749396. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3615 NW SAMARITAN DR
SUITE 203
CORVALLIS, OR
ZIP 97330-783
Phone: (541) 768-6930

The NPI 1073749396 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Dialysis services (1 physician visit per month), patient 20 years of age and older (HCPCS:90962)
  • Hemodialysis procedure with one physician evaluation (HCPCS:90935)

The enumeration date for this NPI number is 6/1/2009 and was last updated on 3/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrology1343WISCONSINNo
2207RN0300XInternal MedicineNephrologyMD60697665WASHINGTONNo
3207RN0300XInternal MedicineNephrologyMD171595OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.