SUMANA NAGAVALLI PA
NPI 1104162361
Physician Assistant - Medical in Camp Hill, PA

Active since December 17, 2012PECOS Enrolled
899 POPLAR CHURCH RD, CAMP HILL, PA 17011(717) 763-3043 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2021, Nov 6, 2019, Oct 5, 2019 and 2 more (5 updates tracked since 2016).

About Sumana Nagavalli Pa NPPES

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

SUMANA NAGAVALLI PA (NPI 1104162361) is an individual medical provider in Camp Hill, Pennsylvania, licensed in Pennsylvania (MA060233) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104162361
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSUMANA NAGAVALLICredential: PA
Location Address899 POPLAR CHURCH RDCamp Hill, PA 17011-2206
Mailing Address899 Poplar Church RdCamp Hill, PA 17011-2206 · (717) 763-0430 · Fax (717) 763-9854
Sole ProprietorNo
Enumeration DateDecember 17, 2012
Last NPPES UpdateOctober 19, 20215 updates tracked since enumeration
NPPES CertifiedOctober 19, 2021
NPI 1104162361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in PA · MA060233
899 POPLAR CHURCH RD, Camp Hill, PA 17011

Other Identifiers 2

OtherMA060233PA · State License
Medicaid1027526380001PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sumana Nagavalli Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
899 POPLAR CHURCH RD
CAMP HILL, PA 17011
Internal Medicine (Gastroenterology)
899 POPLAR CHURCH RD
CAMP HILL, PA 17011
Clinic/Center (Ambulatory Surgical)
899 POPLAR CHURCH RD
CAMP HILL, PA 17011
Nurse Practitioner
899 POPLAR CHURCH RD
CAMP HILL, PA 17011
Internal Medicine (Gastroenterology)
899 POPLAR CHURCH RD
CAMP HILL, PA 17011
Registered Nurse (Gastroenterology)
899 POPLAR CHURCH RD
CAMP HILL, PA 17011
Physician Assistant (Medical)
899 POPLAR CHURCH RD
CAMP HILL, PA 17011
Internal Medicine (Gastroenterology)
899 POPLAR CHURCH RD
CAMP HILL, PA 17011

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 Sumana Nagavalli's NPI number?

The NPI number for Sumana Nagavalli is 1104162361. It was assigned to this individual provider in the NPPES registry on December 17, 2012.

Where is Sumana Nagavalli located?

Sumana Nagavalli practices at 899 Poplar Church Rd, Camp Hill, PA 17011. The listed phone number is (717) 763-3043.

What is Sumana Nagavalli's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Sumana Nagavalli enrolled in Medicare?

Yes. Sumana Nagavalli is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sumana Nagavalli was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.