1. Home
  2. Directory
  3. Virginia
  4. Falls Church
  5. Internal Medicine
  6. NPI Profile

DR. SUCHITHRA A NANCHERLA M. D
NPI 1851312995
Internal Medicine - Endocrinology, Diabetes & Metabolism in Falls Church, VA

Active since July 22, 2006PECOS EnrolledCLIA 49D0708075 · Waiver
103 W BROAD ST, SUITE# 120, FALLS CHURCH, VA 22046(703) 534-6002(703) 534-7472 Get Directions Write a Review

NPPES record last updated: January 13, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Suchithra A Nancherla M. D NPPES

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

DR. SUCHITHRA A NANCHERLA M. D (NPI 1851312995) is an individual endocrinology, diabetes & metabolism provider in Falls Church, Virginia, licensed in Virginia (010141874) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through April 29, 2028.

NPPES Registry Identity

NPI1851312995
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. SUCHITHRA A NANCHERLACredential: M. D
Location Address103 W BROAD ST, SUITE# 120Falls Church, VA 22046-4235
Mailing Address103 W Broad St, Suite# 120Falls Church, VA 22046-4235 · (703) 534-6002 · Fax (703) 534-7472
Phone(703) 534-6002
Fax(703) 534-7472
Sole ProprietorYes
Enumeration DateJuly 22, 2006
Last NPPES UpdateJanuary 13, 2014
✔ NPI 1851312995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in VA · 010141874
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
103 W BROAD ST, Falls Church, VA 22046
Open in Google Maps ↗

Other Identifiers 2

Medicare PING02364VA
Medicare UPINE60154VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Suchithra A Nancherla 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.

Medicare Billing Reassignment

Medicare enrollment records show Suchithra Nancherla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Privia Medical Group, LLC
3.0 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 1,534 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850

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 49D0708075

Suchithra A Nancherla MD · Falls Church, VA
Active · expires Apr 29, 2028
CLIA Number49D0708075
Laboratory TypePhysician Office
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorSuchithra A. Nancherla
Laboratory Phone(703) 534-6002
Laboratory LocationSuchithra A Nancherla MD103 West Broad Street, Suite 120, Falls Church, VA 22046
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.
122 services64 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.
37 services25 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
36 services16 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22046 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%3,682 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
89%125 patients5/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%216 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
48%908 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
96%871 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
39%871 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
51%871 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
6 suppliers15 claims190 services$18.14 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers15 claims450 services$2.26 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers38 claims205 services$5.93 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers20 claims43 services$1.10 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers12 claims12 services$287.40 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
9 suppliers101 claims101 services$195.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

NORTHERN VIRGINIA PERIODONTICS, PLLC.
Dentist (Periodontics)
103 W BROAD ST, STE. 601
FALLS CHURCH, VA 22046
Falls Church City (703) 534-1766
FAMILY PHYSICIANS OF ARLINGTON,PLC
Family Medicine
103 W BROAD ST, SUITE 120
FALLS CHURCH, VA 22046
Falls Church City (703) 538-3444
DR. ASHTON GARRETT GOULDIN DDS, MS, PC
Dentist (Periodontics)
103 W BROAD ST, SUITE 601
FALLS CHURCH, VA 22046
Falls Church City (703) 534-1766
DIABETES & ENDOCRINE CARE ASSOCIATES,PLLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
103 W BROAD ST, SUITE 120
FALLS CHURCH, VA 22046
Falls Church City (703) 534-6002
WENDY N SCHWARTZ MD
Family Medicine
103 W BROAD ST, SUITE 120
FALLS CHURCH, VA 22046
Falls Church City (703) 538-3444

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 Suchithra Nancherla's NPI number?

The NPI number for Suchithra Nancherla is 1851312995. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Where is Suchithra Nancherla located?

Suchithra Nancherla practices at 103 W Broad St Suite# 120, Falls Church, VA 22046. The listed phone number is (703) 534-6002.

What is Suchithra Nancherla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Suchithra Nancherla enrolled in Medicare?

Yes. Suchithra Nancherla is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Suchithra Nancherla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suchithra Nancherla reassigns Medicare benefits to Privia Medical Group, LLC (Arlington, VA). 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 Suchithra Nancherla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Suchithra Nancherla hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0708075) is associated with this NPI, valid through April 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Suchithra Nancherla accept?

Health plans from Oscar Health list Suchithra Nancherla 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.

When was this NPI record last updated?

The NPPES record for Suchithra Nancherla was last updated on January 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.