NALINI KANDALLU PA-C
NPI 1184613432
Physician Assistant in Crown Point, IN

Active since October 19, 2005PECOS EnrolledAccepts Medicare Assignment
95.88/100
CMS Quality Rating
1201 S MAIN ST, CROWN POINT, IN 46307(219) 757-6320(219) 738-6714 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nalini Kandallu Pa-c NPPES

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

NALINI KANDALLU PA-C (NPI 1184613432) is an individual physician assistant in Crown Point, Indiana, licensed in Indiana (10000722A) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and maintains a secondary practice location in Bloomington.

NPPES Registry Identity

NPI1184613432
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNALINI KANDALLUCredential: PA-C
Location Address1201 S MAIN STCrown Point, IN 46307-8481
Mailing Address55 E 86th Ave, Po Box 10645Merrillville, IN 46410-6382 · (219) 769-1670 · Fax (219) 738-6714
Fax(219) 738-6714
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 19, 2005
Last NPPES UpdateJanuary 29, 2024
NPPES CertifiedJanuary 29, 2024
NPI 1184613432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IN · 10000722A
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1201 S MAIN ST, Crown Point, IN 46307

Secondary Practice Location 1

Location 1601 W 2nd StBloomington, IN 47403-2317 · Phone (317) 963-0166 · Fax (317) 963-2711

Accepted 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

Nalini Kandallu Pa-c 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 ID9931160348
PECOS Enrollment IDI20041020000052
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 5

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
32 services22 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
24 services23 patients
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.
16 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services13 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.
13 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Indiana University Health Paoli Hospital

Critical Access Hospitals · Paoli, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151306
Location642 W Hospital RdPaoli, IN 47454 · Orange County
Emergency services Birthing friendly

Indiana University Health Bedford Hospital

Critical Access Hospitals · Bedford, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151328
Location2900 W 16th StBedford, IN 47421 · Lawrence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46307 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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.

95.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.33
Improvement Activities40

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.

Radiology (Diagnostic Radiology)
1201 S MAIN ST
CROWN POINT, IN 46307
Emergency Medicine
1201 S MAIN ST, EMERGENCY DEPARTMENT
CROWN POINT, IN 46307
Hospitalist
1201 S MAIN ST
CROWN POINT, IN 46307
Clinical Nurse Specialist
1201 S MAIN ST
CROWN POINT, IN 46307
Nuclear Medicine
1201 S MAIN ST
CROWN POINT, IN 46307
Nurse Anesthetist, Certified Registered
1201 S MAIN ST
CROWN POINT, IN 46307
Nurse Practitioner
1201 S MAIN ST
CROWN POINT, IN 46307
Emergency Medicine
1201 S MAIN ST
CROWN POINT, IN 46307

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 Nalini Kandallu's NPI number?

The NPI number for Nalini Kandallu is 1184613432. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Where is Nalini Kandallu located?

Nalini Kandallu practices at 1201 S Main St, Crown Point, IN 46307. The listed phone number is (219) 757-6320.

What is Nalini Kandallu's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nalini Kandallu enrolled in Medicare?

Yes. Nalini Kandallu 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 Nalini Kandallu accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Nalini Kandallu 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 Nalini Kandallu affiliated with any hospitals?

According to CMS data, Nalini Kandallu is affiliated with Indiana University Health Bloomington Hospital, Indiana University Health Paoli Hospital and Indiana University Health Bedford Hospital.

When was this NPI record last updated?

The NPPES record for Nalini Kandallu was last updated on January 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.