DR. SITHARAM CHOWDARY NANDIGAM MD
NPI 1003096793
Internal Medicine - Nephrology in Conyers, GA

Q: What is Sitharam Nandigam's NPI number?

The NPI number for Sitharam Nandigam is 1003096793. It was assigned to this individual provider in the NPPES registry on November 9, 2007.

Q: What is Sitharam Nandigam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Sitharam Nandigam was last updated on December 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 09, 2007PECOS EnrolledAccepts Medicare Assignment

29.2/100

CMS Quality Rating

1612 MILSTEAD RD NE, SUITE A, CONYERS, GA 30012(678) 413-3261(678) 413-3580 Get Directions Write a Review

NPPES record last updated: December 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Sitharam Chowdary Nandigam Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SITHARAM CHOWDARY NANDIGAM MD (NPI 1003096793) is an individual nephrology provider in Conyers, Georgia, licensed in Georgia (063104) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Piedmont Newton Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1003096793

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. SITHARAM CHOWDARY NANDIGAMCredential: MD

Location Address1612 MILSTEAD RD NE, SUITE AConyers, GA 30012-3738

Mailing AddressPo Box 1157Covington, GA 30015-1157 · (678) 413-3261 · Fax (678) 413-3580

Phone(678) 413-3261

Fax(678) 413-3580

Sole ProprietorYes

Medical School CMSOtherGraduated 1995

Enumeration DateNovember 9, 2007

Last NPPES UpdateDecember 10, 2013

✔ NPI 1003096793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in GA · 063104

Definition

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 001831 (GA)

1612 MILSTEAD RD NE, Conyers, GA 30012

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Other Identifiers 1

Medicare UPININT0000GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sitharam Chowdary Nandigam Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173701059

PECOS Enrollment IDI20110623000363

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

424 services152 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

273 services143 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

219 services96 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

131 services123 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

112 services58 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

75 services45 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

63 services44 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

52 services26 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

23 services23 patients

Dialysis services, 1 physician visit per month (20 years or older) 90962

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys canâ€™t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.

22 services19 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

15 services15 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Newton Hospital

Acute Care Hospitals · Covington, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110018

Location5126 Hospital Drive NECovington, GA 30014 · Newton County

Emergency services Birthing friendly

Piedmont Walton Hospital

Acute Care Hospitals · Monroe, GA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number110046

Location2151 W Spring StreetMonroe, GA 30655 · Walton County

Emergency services Birthing friendly

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110076

Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County

Emergency services Birthing friendly

Piedmont Rockdale Hospital

Acute Care Hospitals · Conyers, GA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number110091

Location1412 Milstead Avenue, NEConyers, GA 30012 · Rockdale County

Birthing friendly

Emory Hillandale Hospital

Acute Care Hospitals · Lithonia, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110226

Location2801 Dekalb Medical ParkwayLithonia, GA 30058 · De Kalb County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

29.2/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

97.33

Reported Quality Measures

Diabetes: Foot Exam

The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year

57%208 patients3/55-star benchmark: 98%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

87%5,596 patients3/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

93%2,255 patients4/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

2%135 patients1/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

71%571 patients3/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

76%348 patients4/55-star benchmark: 90%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%558 patients5/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 100% · 227 patients

Patients tobacco: 100% · 227 patients

100%25 patients5/55-star benchmark: 98%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

62%571 patients3/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

0%571 patients1/55-star benchmark: 79%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 348 patients

0%348 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EKUNDAYO ADEDAPO FALASE MD

Internal Medicine (Nephrology)

1612 MILSTEAD RD NE, SUITE A
CONYERS, GA 30012

Rockdale County (678) 413-3261

EASTSIDE PREMIER NEPHROLOGY & HYPERTENSION PC

Internal Medicine (Nephrology)

1612 MILSTEAD RD NE, SUITE A
CONYERS, GA 30012

Rockdale County (678) 413-3261

YILIKAL TASSEW KASSA MD

Internal Medicine (Nephrology)

1612 MILSTEAD RD NE, SUITE A
CONYERS, GA 30012

Rockdale County (678) 413-3261

SURGICAL ASSOICATES OF METRO ATLANTA, LLC

Surgery

1612 MILSTEAD RD NE
CONYERS, GA 30012

Rockdale County (770) 602-1292

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sitharam Nandigam's NPI number?

The NPI number for Sitharam Nandigam is 1003096793. It was assigned to this individual provider in the NPPES registry on November 9, 2007.

Where is Sitharam Nandigam located?

Sitharam Nandigam practices at 1612 Milstead Rd NE Suite A, Conyers, GA 30012. The listed phone number is (678) 413-3261.

What is Sitharam Nandigam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sitharam Nandigam enrolled in Medicare?

Yes. Sitharam Nandigam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sitharam Nandigam accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Sitharam Nandigam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sitharam Nandigam affiliated with any hospitals?

According to CMS data, Sitharam Nandigam is affiliated with Piedmont Newton Hospital, Piedmont Walton Hospital, Emory Decatur Hospital, Piedmont Rockdale Hospital and Emory Hillandale Hospital.

When was this NPI record last updated?

The NPPES record for Sitharam Nandigam was last updated on December 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.