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SANDHYA NALLU MD
NPI 1720375199
Family Medicine in Winston Salem, NC

Active since July 06, 2011PECOS EnrolledAccepts Medicare Assignment
1920 W 1ST ST, WINSTON SALEM, NC 27104(336) 716-4479(336) 716-9126 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2023, Nov 23, 2015 (2 updates tracked since 2015).

About Sandhya Nallu Md NPPES

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

SANDHYA NALLU MD (NPI 1720375199) is an individual family medicine provider in Winston Salem, North Carolina, licensed in North Carolina (2020-03236) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and maintains a secondary practice location in Muscatine.

NPPES Registry Identity

NPI1720375199
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSANDHYA NALLUCredential: MD
Location Address1920 W 1ST STWinston Salem, NC 27104-4220
Mailing Address100 Kimel Forest DrWinston Salem, NC 27103-6074 · (336) 716-0238
Phone(336) 716-4479
Fax(336) 716-9126
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 6, 2011
Last NPPES UpdateJune 9, 20232 updates tracked since enumeration
NPPES CertifiedJune 9, 2023
✔ NPI 1720375199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NC · 2020-03236✔ Licensed in IA · MD-42819
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.
1920 W 1ST ST, Winston Salem, NC 27104
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Secondary Practice Location 1

Location 13426 N Port Dr Ste 100Muscatine, IA 52761-2241 · Phone (563) 262-4101 · Fax (563) 264-9513

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandhya Nallu Md 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 ID8325348451
PECOS Enrollment IDI20210701000237
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.

Areas of Expertise CMS Part B claims 7

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.

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.
77 services51 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
44 services31 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.
39 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
17 services16 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27104 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 20

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

MS. CYNTHIA B DANNER LCSW
Social Worker (Clinical)
1920 W 1ST ST
WINSTON SALEM, NC 27104
Forsyth County (336) 945-0940
DR. SUSAN CLARKE MB BCH, MSC
Student in an Organized Health Care Education/Training Program
1920 W 1ST ST, PIEDMONT PLAZA 1, SECOND FLOOR
WINSTON SALEM, NC 27104
Forsyth County (336) 716-2794
STEVEN FOSTER DO
Family Medicine
1920 W 1ST ST, PIEDMONT PLAZA 1
WINSTON SALEM, NC 27104
Forsyth County (336) 716-3724
NORTH CAROLINA BAPTIST HOSPITAL
Pharmacy (Community/Retail Pharmacy)
1920 W 1ST ST, MAIN FLOOR PIEDMONT PLAZA ONE
WINSTON SALEM, NC 27104
Forsyth County (336) 716-5800
SARA FOSTER FABIANO MD
Family Medicine
1920 W 1ST ST
WINSTON SALEM, NC 27104
Forsyth County (336) 716-4479
DR. JENNIFER ELIZABETH ROPER M.D.
Family Medicine
1920 W 1ST ST
WINSTON SALEM, NC 27104
Forsyth County (336) 716-4479
AUSTIN DUNCAN THOMAS MD
Student in an Organized Health Care Education/Training Program
1920 W 1ST ST
WINSTON SALEM, NC 27104
Forsyth County (336) 716-4479
SHANNON REBEKAH JAMES NP
Nurse Practitioner (Family)
1920 W 1ST ST
WINSTON SALEM, NC 27104
Forsyth County (336) 716-4479

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 Sandhya Nallu's NPI number?

The NPI number for Sandhya Nallu is 1720375199. It was assigned to this individual provider in the NPPES registry on July 6, 2011.

Where is Sandhya Nallu located?

Sandhya Nallu practices at 1920 W 1st St, Winston Salem, NC 27104. The listed phone number is (336) 716-4479.

What is Sandhya Nallu's specialty?

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

Is Sandhya Nallu enrolled in Medicare?

Yes. Sandhya Nallu 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.

What insurance does Sandhya Nallu accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Sandhya Nallu 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 Sandhya Nallu affiliated with any hospitals?

According to CMS data, Sandhya Nallu is affiliated with North Carolina Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Sandhya Nallu was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.