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SARA NANDOLIA DO
NPI 1487275475
Pediatrics - Pediatric Gastroenterology in Tyler, TX

Active since April 30, 2020PECOS Enrolled
1120 E FRONT ST, TYLER, TX 75702(903) 606-3630 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 20, 2026, Apr 8, 2026 (2 updates tracked since 2026).

About Sara Nandolia Do NPPES

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

SARA NANDOLIA DO (NPI 1487275475) is an individual pediatric gastroenterology provider in Tyler, Texas, licensed in Texas (U2584) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487275475
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameSARA NANDOLIACredential: DO
Location Address1120 E FRONT STTyler, TX 75702-8414
Mailing Address101 W Cross St Apt 665Baltimore, MD 21230-3692 · (443) 927-3360
Phone(903) 606-3630
Sole ProprietorNo
Enumeration DateApril 30, 2020
Last NPPES UpdateJune 29, 20262 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1487275475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses✔ Licensed in TX · U2584✔ Licensed in MD · H0096933
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
1120 E FRONT ST, Tyler, TX 75702
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara Nandolia Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Sara Nandolia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Johns Hopkins University
1,119 mi
Neurological Surgery
8600 OLD GEORGETOWN RD
Bethesda, MD 20814
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
NPI 1578569240 (410) 955-5000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75702 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

MARY MARGARET ROBERTS RD, LD
Dietitian, Registered
1120 E FRONT ST
TYLER, TX 75702
Smith County (903) 606-3630
TRAVIS A MARKLE D.D.S.
Dentist (General Practice)
1120 E FRONT ST
TYLER, TX 75702
Smith County (903) 597-7902

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 Sara Nandolia's NPI number?

The NPI number for Sara Nandolia is 1487275475. It was assigned to this individual provider in the NPPES registry on April 30, 2020.

Where is Sara Nandolia located?

Sara Nandolia practices at 1120 E Front St, Tyler, TX 75702. The listed phone number is (903) 606-3630.

What is Sara Nandolia's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Sara Nandolia enrolled in Medicare?

Yes. Sara Nandolia is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sara Nandolia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Nandolia reassigns Medicare benefits to Johns Hopkins University (Bethesda, MD). 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 Sara Nandolia'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 Sara Nandolia was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.