MS. KRANTHI NOMULA (MD) – Allergy & Immunology Physician, NPI 1710508072

MS. KRANTHI NOMULA (MD) is a healthcare provider. based in Pembroke pines, Florida. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials MD. They hold a License No. ME0162797 (FL). The NPI Number for MS. KRANTHI NOMULA (MD) is 1710508072

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MS. KRANTHI NOMULA (MD)
NPI
1710508072
Phone
(954) 265-4461
Address
703 N FLAMINGO ROAD
Enumeration Date
28 April 2020
Last Update Date
30 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7013238700
Graduation Year
2019 (7 years ago)
PAC ID
8022430727
Group Practice PAC ID
9739098575
Professional Enrollment ID
I20251112003581
Address ID
ND585038534BI4535XDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:6State licenses:2Digital endpointsOther names

274 ALLERGY/IMMUNOLOGY in FL

Provider Addresses for MS. KRANTHI NOMULA (MD)

  • 703 N FLAMINGO ROAD

    MEMORIAL HOSPITAL WEST

    PEMBROKE PINES, FL 33028

    Phone: (954) 265-4461

    Type: Mailing

  • 1005 JOE DIMAGGIO DR

    HOLLYWOOD, FL 33021

    Phone: (954) 265-4461

    Type: Location

  • PO BOX 5074

    SIOUX FALLS, SD 571175074

    Phone: (605) 328-6585

    Type: Mailing

  • 4535 NORTHERN SKY DR

    BISMARCK, ND 585038538

    Phone: (701) 323-8989

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $634.

Total Amount is formed as General ($634) + Research ($0) + Ownership ($0) = $634.

Last reported payment date: 2024-08-01 • Largest payer in this snapshot: CSL Behring ($226).

Total Amount

$634

General + Research + Ownership

Payments

6

Total payment records

General Amount

$634

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-01

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-11-12

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
I20251112003581IAllergy/ImmunologyNDTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33028)

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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: 9739098575View full group profile
NameSpecialtyState
-ND
Diagnostic Radiology, Interventional RadiologyDE
Clinical PsychologistMN
-ND
Nurse PractitionerSD
Family PracticeND
-ND
Internal Medicine, Hospitalist, Internal MedicineSD
Orthopedic SurgeryMO
Family PracticeND

Reviews

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Frequently asked questions

What federal number belongs to MS. KRANTHI NOMULA (MD)?
The federal identifier for MS. KRANTHI NOMULA (MD) is NPI 1710508072.
Is MS. KRANTHI NOMULA (MD) active in the national directory?
MS. KRANTHI NOMULA (MD)'s public NPI profile is in an active state.
What field does MS. KRANTHI NOMULA (MD) work in?
You can think of MS. KRANTHI NOMULA (MD) as practicing within Allergy & Immunology Physician. Clinical services aligned with this taxonomy classification.
Does MS. KRANTHI NOMULA (MD) practice in Florida?
You will see Pembroke Pines, Florida on file for MS. KRANTHI NOMULA (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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