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SYNERGY MED
NPI 1477019255
Internal Medicine in Stockton, CA

Active since February 16, 2019CLIA 05D2296074 · Waiver
2357 W MARCH LN, STOCKTON, CA 95207(209) 472-2300(209) 472-2446 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 23, 2026, Mar 3, 2020, Jun 6, 2019 and 1 more (4 updates tracked since 2019).

About Synergy Med NPPES

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

SYNERGY MED (NPI 1477019255) is a healthcare organization registered as an internal medicine in Stockton, California and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through December 19, 2027 and lists Sahithi Nandanoor, Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1477019255
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSYNERGY MED
Location Address2357 W MARCH LNStockton, CA 95207-5239
Mailing Address2357 W March LnStockton, CA 95207-5239 · (209) 472-2300 · Fax (209) 472-2446
Phone(209) 472-2300
Fax(209) 472-2446
Organization SubpartNo
Authorized OfficialSahithi NandanoorExecutive Officer · (209) 472-2300
Enumeration DateFebruary 16, 2019
Last NPPES UpdateJanuary 23, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
✔ NPI 1477019255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
2357 W MARCH LN, Stockton, CA 95207
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Other Names 1

Other NameDheeraj Nandanoor, Md

Other Identifiers 1

Medicaid1053725820NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Synergy Med is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Synergy Med, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dheeraj Nandanoor, M.D.
Internal Medicine
NPI 1053725820
2357 W MARCH LN
Stockton, CA 95207
(209) 472-2300
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2296074

Synergy Med · Stockton, CA
Active · expires Dec 19, 2027
CLIA Number05D2296074
Laboratory TypePhysician Office
Certificate Effective DateDecember 20, 2025
Certificate Expiration DateDecember 19, 2027
Laboratory DirectorDheeraj Nandanoor
Laboratory Phone(929) 248-2220
Laboratory LocationSynergy Med2357 W March Lane, Stockton, CA 95207
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Synergy Med's NPI number?

The NPI number for Synergy Med is 1477019255. It was assigned to this organization in the NPPES registry on February 16, 2019. The provider is also known as Dheeraj Nandanoor, MD.

Where is Synergy Med located?

Synergy Med is located at 2357 W March Ln, Stockton, CA 95207. The listed phone number is (209) 472-2300.

What is Synergy Med's specialty?

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

Is Synergy Med enrolled in Medicare?

Yes. Synergy Med is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Synergy Med?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Synergy Med. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Synergy Med hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2296074) is associated with this NPI, valid through December 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Synergy Med was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.