DR. NANDHEESHA HANUMANTHAPPA (MD) – Nephrology Physician, NPI 1609195833

DR. NANDHEESHA HANUMANTHAPPA (MD) is a healthcare provider. based in Port charlotte, Florida. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME116075 (FL). The NPI Number for DR. NANDHEESHA HANUMANTHAPPA (MD) is 1609195833

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. NANDHEESHA HANUMANTHAPPA (MD)
NPI
1609195833
Phone
(941) 505-8720
Address
3221 TAMIAMI TRL
Enumeration Date
27 May 2010
Last Update Date
5 September 2013

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9416291181
Graduation Year
2011 (15 years ago)
PAC ID
0446490627
Group Practice PAC ID
4284685223
Professional Enrollment ID
I20130711000494
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

796 NEPHROLOGY in FL

Provider Addresses for DR. NANDHEESHA HANUMANTHAPPA (MD)

  • 3221 TAMIAMI TRL

    PORT CHARLOTTE, FL 339528002

    Phone: (941) 505-8720

    Fax: (941) 505-8747

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $723.

Total Amount is formed as General ($723) + Research ($0) + Ownership ($0) = $723.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($100).

Total Amount

$723

General + Research + Ownership

Payments

30

Total payment records

General Amount

$723

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-07-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130711000494INephrologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes795300$0
99214Established patient office or other outpatient visit, 30-39 minutes637346$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes466228$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes192180$0
99215Established patient office or other outpatient visit, 40-54 minutes190115$0
View full utilization report →

Insurance plans in this area (ZIP 33952)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284685223View full group profile
NameSpecialtyState
Nephrology, Internal MedicineFL
-FL
Nephrology, Internal MedicineFL

Reviews

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Frequently asked questions

Can I verify DR. NANDHEESHA HANUMANTHAPPA (MD) with an NPI only?
You can start verification with NPI 1609195833 for DR. NANDHEESHA HANUMANTHAPPA (MD), then check state licensing separately.
Does the file indicate DR. NANDHEESHA HANUMANTHAPPA (MD) is practicing under active NPI?
Directory data currently reports DR. NANDHEESHA HANUMANTHAPPA (MD) as active.
What is DR. NANDHEESHA HANUMANTHAPPA (MD)'s primary classification?
Nephrology Physician is the headline specialty for DR. NANDHEESHA HANUMANTHAPPA (MD) here. Clinical services aligned with this taxonomy classification.
What area does DR. NANDHEESHA HANUMANTHAPPA (MD) serve?
DR. NANDHEESHA HANUMANTHAPPA (MD)'s listing highlights Port Charlotte, Florida; more addresses can appear in NPPES.
Why does DR. NANDHEESHA HANUMANTHAPPA (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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