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SUDHA M NAYAR M.D.
NPI 1396739389
Internal Medicine - Nephrology in Charleroi, PA

Active since September 06, 2005PECOS EnrolledAccepts Medicare Assignment
17 ARENTZEN BLVD STE 204, CHARLEROI, PA 15022(724) 489-0220(724) 489-0855 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2021, Apr 6, 2021, Feb 23, 2016 (3 updates tracked since 2016).

About Sudha M Nayar M.d. NPPES

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

SUDHA M NAYAR M.D. (NPI 1396739389) is an individual nephrology provider in Charleroi, Pennsylvania, licensed in Pennsylvania (MD043171E) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Uniontown Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1396739389
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameSUDHA M NAYARCredential: M.D.
Location Address17 ARENTZEN BLVD STE 204Charleroi, PA 15022-1085
Mailing Address575 Coal Valley Rd Ste 204Clairton, PA 15025-3724 · (412) 466-2220 · Fax (412) 466-4048
Phone(724) 489-0220
Fax(724) 489-0855
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateSeptember 6, 2005
Last NPPES UpdateMay 20, 20243 updates tracked since enumeration
NPPES CertifiedMay 20, 2024
✔ NPI 1396739389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in PA · MD043171E
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
17 ARENTZEN BLVD STE 204, Charleroi, PA 15022
Open in Google Maps ↗

Other Identifiers 2

Medicaid0015259600003PA
Medicaid0012712400021PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Sudha M Nayar 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 ID1052398930
PECOS Enrollment IDI20040630000217
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.

Medicare Billing Reassignment

Medicare enrollment records show Sudha Nayar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pittsburgh Kidney Care LLC
14 mi
Nephrology
575 COAL VALLEY RD STE 204
Clairton, PA 15025
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 17 clinicians in this Medicare group
NPI 1699122069 (412) 466-2220

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 6

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 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.
224 services68 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.
106 services60 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.
99 services71 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
29 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services14 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
15 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Uniontown Hospital

Acute Care Hospitals · Uniontown, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390041
Location500 West Berkeley StreetUniontown, PA 15401 · Fayette County
Emergency services

Washington Hospital, The

Acute Care Hospitals · Washington, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390042
Location155 Wilson AvenueWashington, PA 15301 · Washington County
Emergency services Birthing friendly

Penn Highlands Mon Valley

Acute Care Hospitals · Monongahela, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390147
Location1163 Country Club RoadMonongahela, PA 15063 · Washington County
Emergency services

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15022 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 2

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

MRS. GINA MARIE CROSS CRNP
Nurse Practitioner
17 ARENTZEN BLVD STE 204
CHARLEROI, PA 15022
Washington County (724) 489-0220
DR. TARIKU TADELE GUDURA MD
Internal Medicine (Nephrology)
17 ARENTZEN BLVD STE 204
CHARLEROI, PA 15022
Washington County (724) 489-0220

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 Sudha Nayar's NPI number?

The NPI number for Sudha Nayar is 1396739389. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Where is Sudha Nayar located?

Sudha Nayar practices at 17 Arentzen Blvd Ste 204, Charleroi, PA 15022. The listed phone number is (724) 489-0220.

What is Sudha Nayar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sudha Nayar enrolled in Medicare?

Yes. Sudha Nayar 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 Sudha Nayar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sudha Nayar reassigns Medicare benefits to Pittsburgh Kidney Care LLC (Clairton, PA). 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 Sudha Nayar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sudha Nayar accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Sudha Nayar 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 Sudha Nayar affiliated with any hospitals?

According to CMS data, Sudha Nayar is affiliated with Uniontown Hospital, Washington Hospital, The, Penn Highlands Mon Valley and Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Sudha Nayar was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.