REVANTH REDDY BANDARU MD – NPI #1154994200
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

REVANTH REDDY BANDARU is a physician located in INVERNESS, FL. NPPES has assigned the NPI number 1154994200 to REVANTH REDDY BANDARU on July 16, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was last updated on Mar 24, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for REVANTH REDDY BANDARU below.

NPI Profile for
REVANTH REDDY BANDARU

NPI Number
1154994200
Enumeration Date

(about 5 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
REVANTH REDDY BANDARU
Credentials
MD
Primary location
502 W HIGHLAND BLVD
INVERNESS, FL 34452-4720
Phone: (470) 237-6445 Fax:
Mailing address
175 BITTERN LOOP
INVERNESS, FL 34453-7044
Phone: (470) 237-6445 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Mar 24, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
FL 39603
207R00000X
- Internal Medicine
NC RTL21-0293

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.