DR. KUSUMA KALYANI NANDURI M.D
NPI 1336247113
Internal Medicine in Fairfax, VA

Q: What is Kusuma Kalyani Nanduri's NPI number?

The NPI number for Kusuma Kalyani Nanduri is 1336247113. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Kusuma Kalyani Nanduri's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment

12255 FAIR LAKES PKWY, KAISER PERMANENTE, FAIRFAX, VA 22033(703) 934-5700 Get Directions Write a Review

NPPES record last updated: May 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kusuma Kalyani Nanduri M.d NPPES

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

DR. KUSUMA KALYANI NANDURI M.D (NPI 1336247113) is an individual internal medicine provider in Fairfax, Virginia, licensed in Virginia (0101244597) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1336247113

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. KUSUMA KALYANI NANDURICredential: M.D

Location Address12255 FAIR LAKES PKWY, KAISER PERMANENTEFairfax, VA 22033-3952

Mailing Address2101 E Jefferson St, Kaiser Permanente Medicare EnrollmentRockville, MD 20852-4908 · (301) 816-2424

Phone(703) 934-5700

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateSeptember 20, 2006

Last NPPES UpdateMay 30, 2021

NPPES CertifiedMay 30, 2021

✔ NPI 1336247113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in VA · 0101244597✔ Licensed in DC · MD040072✔ Licensed in MD · D0063439

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

12255 FAIR LAKES PKWY, Fairfax, VA 22033

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Other Identifiers 4

Other64881302Bcbs Md

OtherJ0950013Bcbs Dc

Medicaid409407700MD

Medicaid0373330700DC

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. Kusuma Kalyani Nanduri M.d 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 ID7416979703

PECOS Enrollment IDI20051230000080, I20210617000414

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

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

17 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22033 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

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

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.

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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.

ANDALEEB RAHMAN MD

Family Medicine

12255 FAIR LAKES PKWY
FAIRFAX, VA 22033

Fairfax County (703) 359-7878

RENEE ELIZABETH FUNCHES M.D.

Internal Medicine (Hematology & Oncology)

12255 FAIR LAKES PKWY, KAISER PERMANENTE FAIR OAKS MEDICAL CENTER
FAIRFAX, VA 22033

Fairfax County (703) 934-5700

DR. KHOI T VU MD

Obstetrics & Gynecology

12255 FAIR LAKES PKWY, KAISER PERMANENTE FAIR OAKS MEDICAL CENTER
FAIRFAX, VA 22033

Fairfax County (703) 934-5720

DR. MONA THERESA ISKANDER M.D.

Pediatrics

12255 FAIR LAKES PKWY
FAIRFAX, VA 22033

Fairfax County (703) 934-5804

DR. KATHERINE OHLHAUSEN MCCABE MD

Ophthalmology

12255 FAIR LAKES PKWY
FAIRFAX, VA 22033

Fairfax County (703) 934-5700

KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC

Clinic/Center (Health Service)

12255 FAIR LAKES PKWY
FAIRFAX, VA 22033

Fairfax County (703) 934-5700

DR. MINH-PHUONG LU DOAN MD

Ophthalmology

12255 FAIR LAKES PKWY, KAISER PERMANENTE
FAIRFAX, VA 22033

Fairfax County (702) 934-5700

WILLIAM SEID M.D.

Colon & Rectal Surgery

12255 FAIR LAKES PKWY, KAISER PERMANENTE FAIR OAKS MEDICAL CENTER
FAIRFAX, VA 22033

Fairfax County (703) 934-5770

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 Kusuma Kalyani Nanduri's NPI number?

The NPI number for Kusuma Kalyani Nanduri is 1336247113. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Kusuma Kalyani Nanduri located?

Kusuma Kalyani Nanduri practices at 12255 Fair Lakes Pkwy Kaiser Permanente, Fairfax, VA 22033. The listed phone number is (703) 934-5700.

What is Kusuma Kalyani Nanduri's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kusuma Kalyani Nanduri enrolled in Medicare?

Yes. Kusuma Kalyani Nanduri 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.

When was this NPI record last updated?

The NPPES record for Kusuma Kalyani Nanduri was last updated on May 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.