NPIMap

Individual provider Active NPI

Ravindra Bollu, M.D.

  • Nephrology Physician
  • Allentown, PA
National Provider Identifier
1194716845
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD067449L Issued in PA
Practice address
1230 S Cedar Crest Blvd Stes 301, 302, 304
Allentown, PA 18103-6212
Phone
(610) 432-4529
Fax
(610) 432-2206
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD067449L PA
Nephrology Physician 207RN0300X MD067449L PA Primary

Addresses

Primary practice location

1230 S Cedar Crest Blvd Stes 301, 302, 304
Allentown, PA 18103-6212

Mailing address

1230 S Cedar Crest Blvd Ste 301
Allentown, PA 18103-6212
Phone (610) 432-4529

Other practice location 1

1250 S Cedar Crest Blvd Ste 210
Allentown, PA 18103-6271
Phone (610) 402-8506

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rbollu12130@directacumenmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101104000278 PA Practitioner - NephrologyPractitioner - Internal Medicine 4789678145 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Kidney Specialists, P.C.Group PAC ID 2860670734, 31 clinicians
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1230 S Cedar Crest Blvd
Stes 301 302 and 304
Allentown, PA 18103-6212
Phone (610) 432-4529

1250 S Cedar Crest Blvd
210 LVPG Transplant Surgery
Allentown, PA 18103-6271
Phone (610) 402-8506

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Kidney Specialists, P.C. Nephrology CurrentSince May 15, 2011 Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 1, 2022 Accepting new patients
Valley Kidney Specialists, PC Nephrology CurrentSince May 15, 2011 Accepting new patients
Kidney Care Specialists LLC Nephrology CurrentSince Nov 1, 2018 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 1, 2022 Accepting new patients
Bio-Medical Applications of Pennsylvania Inc. PastSince Apr 30, 2003 Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1250 S Cedar Crest Blvd
Ste 210
Allentown, PA 18103
Phone (610) 402-6986

1230 S Cedar Crest Blvd
Ste 302
Allentown, PA 18103
Phone (610) 770-0616

1230 S Cedar Crest Blvd
Ste 30130
Allentown, PA 18103

1230 S Cedar Crest Blvd
Ste 301
Allentown, PA 18103
Phone (610) 432-4873

2014 City Line Rd
Ste 101
Bethlehem, PA 18017
Phone (610) 258-3608

2014 City Line Rd
Ste 103
Bethlehem, PA 18017
Phone (610) 433-4100

2014 City Line Rd
Ste 300
Bethlehem, PA 18017

2000 Sproul Rd
Ste 300
Broomall, PA 19008
Phone (610) 356-3700

45 Constitution Blvd
Kutztown, PA 19530
Phone (610) 683-7349

693 Port Carbon Saint Clair Hwy
Pottsville, PA 17901
Phone (570) 429-0788

1105 Bethlehem Pike
#B5
Sellersville, PA 18960
Phone (215) 257-4533

920 Lawn Ave
Ste 12
Sellersville, PA 18960
Phone (215) 257-4533

Interoperability endpoints

  • Direct secure messaging: rbollu8569@direct2.lvhn.org
  • Direct secure messaging: rbollu12130@direct.acumenmd.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1194716845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 S CEDAR CREST BLVD STE 301",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036212",
            "telephone_number": "610-432-4529",
            "fax_number": "610-432-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S CEDAR CREST BLVD STES 301, 302, 304",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036212",
            "telephone_number": "610-432-4529",
            "fax_number": "610-432-2206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 S Cedar Crest Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036271",
            "country_code": "US",
            "telephone_number": "610-402-8506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLLU",
        "first_name": "RAVINDRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD067449L",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD067449L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbollu12130@directacumenmd.com",
            "affiliation": "N",
            "address_1": "1230 S Cedar Crest Blvd Stes 301, 302, 304",
            "city": "Allentown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "181036212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.