RENUKA NANDAN M.D
NPI 1356548028
Specialist in Lodi, CA

Active since June 27, 2007PECOS EnrolledAccepts Medicare Assignment
975 S FAIRMONT AVE, LODI, CA 95240(209) 334-3411 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Renuka Nandan M.d NPPES

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

RENUKA NANDAN M.D (NPI 1356548028) is an individual specialist in Lodi, California and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1356548028
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameRENUKA NANDANCredential: M.D
Location Address975 S FAIRMONT AVELodi, CA 95240-5118
Mailing Address975 S Fairmont AveLodi, CA 95240-5118 · (209) 334-3411
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJune 27, 2007
Last NPPES UpdateFebruary 11, 2022
NPI 1356548028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
975 S FAIRMONT AVE, Lodi, CA 95240

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

Renuka Nandan 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 ID7810075140
PECOS Enrollment IDI20080425000678
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.

Dietitian, Registered
975 S FAIRMONT AVE
LODI, CA 95240
Pathology (Anatomic Pathology & Clinical Pathology)
975 S FAIRMONT AVE
LODI, CA 95240
Emergency Medicine
975 S FAIRMONT AVE
LODI, CA 95240
Physician Assistant
975 S FAIRMONT AVE
LODI, CA 95240
Pharmacy (Clinic Pharmacy)
975 S FAIRMONT AVE, 2415 W VINE #104
LODI, CA 95240
Nurse Practitioner (Family)
975 S FAIRMONT AVE
LODI, CA 95240
Radiology (Diagnostic Radiology)
975 S FAIRMONT AVE
LODI, CA 95240
Pediatrics
975 S FAIRMONT AVE
LODI, CA 95240

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 Renuka Nandan's NPI number?

The NPI number for Renuka Nandan is 1356548028. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Where is Renuka Nandan located?

Renuka Nandan practices at 975 S Fairmont Ave, Lodi, CA 95240. The listed phone number is (209) 334-3411.

What is Renuka Nandan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Renuka Nandan enrolled in Medicare?

Yes. Renuka Nandan 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 Renuka Nandan was last updated on February 11, 2022. 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.