DR. NANDAKISHORE NEMARUGOMMULA MD - NPI 1114102225 - Family Medicine in Arlington, VA

Q: What is Nandakishore Nemarugommula's NPI number?

The NPI number for Nandakishore Nemarugommula is 1114102225. It was assigned to this individual provider in the NPPES registry on January 8, 2008.

Q: What is Nandakishore Nemarugommula's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Dr. Nandakishore Nemarugommula Md NPPES

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

DR. NANDAKISHORE NEMARUGOMMULA MD (NPI 1114102225) is an individual family medicine provider in Arlington, Virginia, licensed in Virginia (0101268073) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Floresville.

NPPES Registry Identity

NPI1114102225

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. NANDAKISHORE NEMARUGOMMULACredential: MD

Location Address4102 WILSON BLVDArlington, VA 22203-1802

Mailing Address6201 Greenleigh AveBaltimore, MD 21220-2004 · (410) 933-6423

Phone(410) 933-6423

Sole ProprietorNo

Enumeration DateJanuary 8, 2008

Last NPPES UpdateJuly 29, 2026

NPPES CertifiedJuly 29, 2026

✔ NPI 1114102225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in VA · 0101268073✔ Licensed in MD · D0087637✔ Licensed in TX · N1014

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4102 WILSON BLVD, Arlington, VA 22203

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Secondary Practice Location 1

Location 1540 10th street, Suite 140Floresville, TX 78114-3167 · Phone (830) 393-9390 · Fax (830) 393-9399

Other Identifiers 1

Medicaid202000001TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nandakishore Nemarugommula Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22203 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

Other Providers at the Same Location NPPES 7

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

DR. SONJA BRITT BORGSTROM MD, MPH

Family Medicine