SUNDARA C NALLA M.D.
NPI 1548353022
Family Medicine in Fairmont, MN

Active since October 02, 2006PECOS Enrolled
229 SYLVAN DR, FAIRMONT, MN 56031(507) 749-0111 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 30, 2021, Nov 16, 2021, Nov 12, 2021 and 1 more (4 updates tracked since 2017).

About Sundara C Nalla M.d. NPPES

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

SUNDARA C NALLA M.D. (NPI 1548353022) is an individual family medicine provider in Fairmont, Minnesota, licensed in Minnesota (32815) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548353022
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSUNDARA C NALLACredential: M.D.
Location Address229 SYLVAN DRFairmont, MN 56031-2421
Mailing Address229 Sylvan DrFairmont, MN 56031-2421 · (507) 749-0111
Sole ProprietorYes
Enumeration DateOctober 2, 2006
Last NPPES UpdateNovember 30, 20214 updates tracked since enumeration
NPPES CertifiedNovember 30, 2021
NPI 1548353022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 32815
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

229 SYLVAN DR, Fairmont, MN 56031

Other Identifiers 5

Medicaid950797300MN
Other0D930NAMN · Bcbs Mpin
Medicaid1967802IA
Other080120227MN · Rr Medicare
Other115527FM · Ucare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sundara C Nalla M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56031 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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 Sundara Nalla's NPI number?

The NPI number for Sundara Nalla is 1548353022. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Sundara Nalla located?

Sundara Nalla practices at 229 Sylvan Dr, Fairmont, MN 56031. The listed phone number is (507) 749-0111.

What is Sundara Nalla's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sundara Nalla enrolled in Medicare?

Yes. Sundara Nalla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sundara Nalla was last updated on November 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.