DR. KUSUMA KALYANI NANDURI M.D
NPI 1336247113
Internal Medicine in Fairfax, VA
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
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Kusuma Kalyani Nanduri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fairfax, VA 22033
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- Also billed through NPI 1699893537 (Virginia)
- 2,492 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
FAIRFAX, VA 22033
FAIRFAX, VA 22033
FAIRFAX, VA 22033
FAIRFAX, VA 22033
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.
Which organization bills Medicare for Kusuma Kalyani Nanduri's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kusuma Kalyani Nanduri reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Fairfax, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kusuma Kalyani Nanduri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Kusuma Kalyani Nanduri, M.D · NPI 1336247113
Internal Medicine physician in Fairfax, Virginia. Individual provider, active in the CMS NPPES registry since September 20, 2006.
## Identity
- **NPI:** 1336247113 (Entity type: Individual)
- **Enumerated:** September 20, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 0101244597 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 12255 FAIR LAKES PKWY, KAISER PERMANENTE, Fairfax, VA 22033-3952
- **Phone:** (703) 934-5700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1215058326, Fairfax, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** May 30, 2021
- **Other identifiers:** Other 64881302; Other J0950013; Medicaid 409407700 (MD); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1336247113) · Data from the CMS NPPES public registry.