Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ravi Tej Bommu, MD

Individual provider Medical Microbiology Physician · NPI 1164085049

Ravi Tej Bommu, MD is a Pathology in Iowa City, Iowa. Qualified in 2010, 16 years ago. Practices with State University of Iowa, a 1,885-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
16
Licensed in
IA
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone: (319) 384-9609
Fax: (319) 356-2987
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Microbiology Physician (primary) Taxonomy 207ZM0300X · Licence MD-54997 (IA)

Record details

NPI number1164085049
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2019
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice State University Of Iowa — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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