SANNUTHI VISHALAKUMAR APRN.CNP
NPI 1912899428
Nurse Practitioner - Family in Middletown, OH

Active since July 18, 2025PECOS EnrolledAccepts Medicare Assignment
1036 S VERITY PKWY, MIDDLETOWN, OH 45044(513) 454-1111(513) 737-1592 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sannuthi Vishalakumar Aprn.cnp NPPES

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

SANNUTHI VISHALAKUMAR APRN.CNP (NPI 1912899428) is an individual family provider in Middletown, Ohio, licensed in Ohio (0039799) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1912899428
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSANNUTHI VISHALAKUMARCredential: APRN.CNP
Location Address1036 S VERITY PKWYMiddletown, OH 45044-5513
Mailing AddressPo Box 837Hamilton, OH 45012-0837 · (513) 820-0432
Fax(513) 737-1592
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 18, 2025
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1912899428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · 0039799
1036 S VERITY PKWY, Middletown, OH 45044

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sannuthi Vishalakumar Aprn.cnp 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 ID5193228864
PECOS Enrollment IDI20250910002438
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 Sannuthi Vishalakumar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care
1036 S VERITY PKWY
Middletown, OH 45044
  • Reassigned Medicare billing, Ohio enrollment
  • 57 clinicians in this Medicare group

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 45044 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Student in an Organized Health Care Education/Training Program
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Nurse Practitioner (Family)
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Social Worker
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Nurse Practitioner (Psychiatric/Mental Health)
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Clinic/Center (Primary Care)
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Social Worker (Clinical)
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Nurse Practitioner (Family)
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Social Worker (Clinical)
1036 S VERITY PKWY
MIDDLETOWN, OH 45044

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 Sannuthi Vishalakumar's NPI number?

The NPI number for Sannuthi Vishalakumar is 1912899428. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Where is Sannuthi Vishalakumar located?

Sannuthi Vishalakumar practices at 1036 S Verity Pkwy, Middletown, OH 45044. The listed phone number is (513) 454-1111.

What is Sannuthi Vishalakumar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sannuthi Vishalakumar enrolled in Medicare?

Yes. Sannuthi Vishalakumar 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.

Which organization bills Medicare for Sannuthi Vishalakumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sannuthi Vishalakumar reassigns Medicare benefits to Butler County Community Health Consortium Inc (Middletown, OH). 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 Sannuthi Vishalakumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sannuthi Vishalakumar accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Sannuthi Vishalakumar 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 Sannuthi Vishalakumar was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.