SUDHINDRA K ANEGUNDI (MD) – Vascular Surgery Physician, NPI 1629039052

SUDHINDRA K ANEGUNDI (MD) is a healthcare provider. based in Lawrenceville, Georgia. specializing in Vascular Surgery Physician. They hold the professional credentials MD. They hold a License No. 017970 (GA). The NPI Number for SUDHINDRA K ANEGUNDI (MD) is 1629039052

Main info

Male
Sole Proprietor
55 Years Of Experience
Accepts Medicare Assignment
Name
SUDHINDRA K ANEGUNDI (MD)
NPI
1629039052
Phone
(770) 962-9977
Address
631 PROFESSIONAL DRIVE
Enumeration Date
28 March 2006
Last Update Date
1 September 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709629977
Graduation Year
1971 (55 years ago)
PAC ID
4688684814
Group Practice PAC ID
7113258674
Professional Enrollment ID
I20060502000493
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for SUDHINDRA K ANEGUNDI (MD)

  • 631, Professional Drive, Lawrenceville, Gwinnett County, Georgia, 30046, United States

    SUITE 300

    LAWRENCEVILLE, GA 300463371

    Phone: (770) 962-9977

    Fax: (770) 339-9804

    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 1 Open Payments records for all available years, with a total value of $150.

Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Janssen Biotech, Inc. ($150).

Total Amount

$150

General + Research + Ownership

Payments

1

Total payment records

General Amount

$150

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Janssen Biotech, Inc.$150
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: 2006-05-02

PECOS data refreshed: 2026-06-15

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
I20060502000493IGeneral SurgeryGATBD

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 30046)

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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: 7113258674View full group profile
NameSpecialtyState
Physician AssistantNC
Nurse PractitionerNY
General SurgeryGA
-GA

Reviews

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Frequently asked questions

How is SUDHINDRA K ANEGUNDI (MD) identified in CMS data?
CMS-hosted NPPES data lists SUDHINDRA K ANEGUNDI (MD) with NPI 1629039052.
Does the file indicate SUDHINDRA K ANEGUNDI (MD) is practicing under active NPI?
Directory data currently reports SUDHINDRA K ANEGUNDI (MD) as active.
What healthcare role does SUDHINDRA K ANEGUNDI (MD) hold?
Scheduling teams often label SUDHINDRA K ANEGUNDI (MD) under Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is SUDHINDRA K ANEGUNDI (MD) based?
SUDHINDRA K ANEGUNDI (MD) is tied to Lawrenceville, Georgia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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