SUDHA DIRISANALA MD
NPI 1922703586
Internal Medicine in Augusta, GA
About Sudha Dirisanala Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUDHA DIRISANALA MD (NPI 1922703586) is an individual internal medicine provider in Augusta, Georgia, licensed in Georgia (110708) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gainesville, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Sudha Dirisanala 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
AUGUSTA, GA 30901
AUGUSTA, GA 30901
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 Sudha Dirisanala's NPI number?
The NPI number for Sudha Dirisanala is 1922703586. It was assigned to this individual provider in the NPPES registry on April 3, 2023.
Where is Sudha Dirisanala located?
Sudha Dirisanala practices at 1350 Walton Way, Augusta, GA 30901. The listed phone number is (706) 774-5795.
What is Sudha Dirisanala's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Sudha Dirisanala enrolled in Medicare?
Yes. Sudha Dirisanala 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.
When was this NPI record last updated?
The NPPES record for Sudha Dirisanala was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.
# Sudha Dirisanala, MD · NPI 1922703586
Internal Medicine physician in Augusta, Georgia. Individual provider, active in the CMS NPPES registry since April 3, 2023.
## Identity
- **NPI:** 1922703586 (Entity type: Individual)
- **Enumerated:** April 3, 2023
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 110708 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1350 WALTON WAY, Augusta, GA 30901-2612
- **Phone:** (706) 774-5795
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** August 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1922703586) · Data from the CMS NPPES public registry.