NISCHALA DHANEKULA MD
NPI 1831402817
Internal Medicine in Cumming, GA

Q: What is Nischala Dhanekula's NPI number?

The NPI number for Nischala Dhanekula is 1831402817. It was assigned to this individual provider in the NPPES registry on July 20, 2010.

Q: What is Nischala Dhanekula's specialty?

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

Active since July 20, 2010PECOS EnrolledAccepts Medicare Assignment

3850 WINDERMERE PKWY STE 105, CUMMING, GA 30041(678) 455-2800(770) 888-9998 Get Directions Write a Review

NPPES record last updated: August 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2024, Aug 18, 2024, Jun 8, 2021 and 4 more (7 updates tracked since 2016).

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About Nischala Dhanekula Md NPPES

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

NISCHALA DHANEKULA MD (NPI 1831402817) is an individual internal medicine provider in Cumming, Georgia, licensed in Georgia (80279) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1831402817

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameNISCHALA DHANEKULACredential: MD

Location Address3850 WINDERMERE PKWY STE 105Cumming, GA 30041-7033

Mailing Address3850 Windermere Pkwy Ste 105Cumming, GA 30041-7033 · (678) 455-2800 · Fax (770) 888-9998

Phone(678) 455-2800

Fax(770) 888-9998

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJuly 20, 2010

Last NPPES UpdateAugust 25, 20247 updates tracked since enumeration

NPPES CertifiedAugust 25, 2024

✔ NPI 1831402817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in GA · 80279✔ Licensed in SC · 37902✔ Licensed in NY · 271987

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.

3850 WINDERMERE PKWY STE 105, Cumming, GA 30041

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Other Identifiers 2

Medicaid379021SC

Medicaid03757568NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Nischala Dhanekula 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 ID3072742725

PECOS Enrollment IDI20240807002470

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 30041 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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 5

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

SYED NAYER

Nurse Practitioner (Psychiatric/Mental Health)