NANDAKUMAR NAGARAJA M.D., M.S.
NPI 1396989562
Psychiatry & Neurology - Neurology in Hershey, PA

Active since April 30, 2009PECOS EnrolledAccepts Medicare Assignment
72.57/100
CMS Quality Rating
30 HOPE DR STE 1300, HERSHEY, PA 17033(717) 531-3828(717) 531-4694 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 8, 2021, Nov 3, 2016, Jul 1, 2016 (3 updates tracked since 2016).

About Nandakumar Nagaraja M.d., M.s. NPPES

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

NANDAKUMAR NAGARAJA M.D., M.S. (NPI 1396989562) is an individual neurology provider in Hershey, Pennsylvania, licensed in Pennsylvania (MD475455) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Milton S Hershey Medical Center, and maintains a secondary practice location in Hershey.

NPPES Registry Identity

NPI1396989562
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameNANDAKUMAR NAGARAJACredential: M.D., M.S.
Location Address30 HOPE DR STE 1300Hershey, PA 17033-2036
Mailing AddressPo Box 858, Ca410Hershey, PA 17033-0858 · (800) 243-1455
Fax(717) 531-4694
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateApril 30, 2009
Last NPPES UpdateSeptember 8, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2021
✔ NPI 1396989562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in PA · MD475455✔ Licensed in IA · 41133✔ Licensed in DC · MD039587✔ Licensed in MD · D0072293
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Neuromuscular MedicineTaxonomy 2084N0008X · License ME128158 (FL)
Also ListedPsychiatry & Neurology · Vascular NeurologyTaxonomy 2084V0102X · License MD475455 (PA), 41133 (IA)
30 HOPE DR STE 1300, Hershey, PA 17033

Secondary Practice Location 1

Location 1500 University DrHershey, PA 17033-2360 · Phone (800) 243-1455 · Fax (717) 531-4694

Other Identifiers 1

Medicaid017858000FL

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

Nandakumar Nagaraja M.d., M.s. 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 ID9739313735
PECOS Enrollment IDI20210830001917
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 Reassignments

3

Medicare enrollment records show Nandakumar Nagaraja reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
35 HOPE DR
Hershey, PA 17033
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,216 clinicians in this Medicare group
Internal Medicine
155 WELLNESS WAY
State College, PA 16803
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 393 clinicians in this Medicare group
Critical Access
214 PEACH ORCHARD RD
Mc Connellsburg, PA 17233
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 80 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 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 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.
41 services20 patients
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426
A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.
29 services28 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.
15 services14 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
12 services12 patients
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425
A telehealth consultation is a remote medical service where a doctor assesses your health condition through a video call. In an emergency or initial inpatient scenario, this typically lasts for about 30 minutes. This method allows for prompt, efficient care without needing to be physically present in a healthcare facility.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17033 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.

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.

72.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.12
Promoting Interoperability98
Improvement Activities40
Cost55.13

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.

Psychiatry & Neurology (Neurology)
30 HOPE DR STE 1300
HERSHEY, PA 17033
Psychiatry & Neurology (Neurology)
30 HOPE DR STE 1300
HERSHEY, PA 17033
Physician Assistant
30 HOPE DR STE 1300
HERSHEY, PA 17033
Physician Assistant
30 HOPE DR STE 1300
HERSHEY, PA 17033
Clinical Neuropsychologist
30 HOPE DR STE 1300
HERSHEY, PA 17033
Psychiatry & Neurology (Neurology)
30 HOPE DR STE 1300
HERSHEY, PA 17033
Psychiatry & Neurology (Neurology)
30 HOPE DR STE 1300
HERSHEY, PA 17033
Nurse Practitioner
30 HOPE DR STE 1300
HERSHEY, PA 17033

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 Nandakumar Nagaraja's NPI number?

The NPI number for Nandakumar Nagaraja is 1396989562. It was assigned to this individual provider in the NPPES registry on April 30, 2009.

Where is Nandakumar Nagaraja located?

Nandakumar Nagaraja practices at 30 Hope Dr Ste 1300, Hershey, PA 17033. The listed phone number is (717) 531-3828.

What is Nandakumar Nagaraja's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Nandakumar Nagaraja enrolled in Medicare?

Yes. Nandakumar Nagaraja 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 organizations bill Medicare for Nandakumar Nagaraja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nandakumar Nagaraja reassigns Medicare benefits to 3 organizations: The Milton S Hershey Medical Center Physicians Group (Hershey, PA), Mount Nittany Medical Center Health Services Inc (State College, PA) and Fulton County Medical Center (Mc Connellsburg, PA). Each 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 Nandakumar Nagaraja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nandakumar Nagaraja affiliated with any hospitals?

According to CMS data, Nandakumar Nagaraja is affiliated with Milton S Hershey Medical Center.

When was this NPI record last updated?

The NPPES record for Nandakumar Nagaraja was last updated on September 8, 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.