VANITHA BANAJJAR REVANASIDDAPPA MD – NPI #1669856217
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

VANITHA BANAJJAR REVANASIDDAPPA is a physician located in CHARLOTTE, NC. NPPES has assigned the NPI number 1669856217 to VANITHA BANAJJAR REVANASIDDAPPA on July 14, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her other name VANITHA BANAJJAR. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was last updated on Oct 28, 2025. 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 VANITHA BANAJJAR REVANASIDDAPPA below.

NPI Profile for
VANITHA BANAJJAR REVANASIDDAPPA

NPI Number
1669856217
Enumeration Date

(about 11 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
VANITHA BANAJJAR REVANASIDDAPPA
Other Name: VANITHA BANAJJAR
Credentials
MD
Primary location
1718 E 4TH ST STE 907
CHARLOTTE, NC 28204-3282
Phone: (704) 372-4000 Fax: (704) 334-4855
2 Other location(s):
797 W Childs Ave
Merced, CA 95341-6805
Phone: (866) 682-4842
1650 Grand Concourse
Dept of Ob/Gyn
Bronx, NY 10457-7606
Phone: (718) 579-3992
Mailing address
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Oct 28, 2025

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.

Identifiers

Identifiers for VANITHA BANAJJAR REVANASIDDAPPA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCA1669856217
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
207V00000X
- Obstetrics & Gynecology (Primary)
NC 2025-01298
390200000X
- Student in an Organized Health Care Education/Training Program

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

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
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?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

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.