NALINI KANDALLU (PA-C) – Physician Assistant, NPI 1184613432

NALINI KANDALLU (PA-C) is a healthcare provider. based in Merrillville, Indiana. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 10000722A (IN). The NPI Number for NALINI KANDALLU (PA-C) is 1184613432

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
NALINI KANDALLU (PA-C)
NPI
1184613432
Phone
(219) 769-1670
Address
55 E 86TH AVE
Enumeration Date
19 October 2005
Last Update Date
29 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8123539356
Graduation Year
2004 (22 years ago)
PAC ID
9931160348
Group Practice PAC ID
7315922267
Professional Enrollment ID
I20041020000052
Address ID
IN474089059BL2651XPKWY400

Contacts

Secure Messaging
nkandallu@direct.iuhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,499 PHYSICIAN ASSISTANT in IN

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Provider Addresses for NALINI KANDALLU (PA-C)

  • 55, East 86th Avenue, Merrillville, Ross Township, Lake County, Indiana, 46410, United States

    PO BOX 10645

    MERRILLVILLE, IN 464106382

    Phone: (219) 769-1670

    Fax: (219) 738-6714

    Type: Mailing

  • Franciscan Health Crown Point, 1201, South Main Street, Crown Point, Lake County, Indiana, 46307, United States

    CROWN POINT, IN 463078481

    Phone: (219) 757-6320

    Fax: (219) 738-6714

    Type: Location

  • 601 W 2nd St

    Bloomington, IN 474032317

    Phone: (317) 963-0166

    Fax: (317) 963-2711

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-10-20

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
I20041020000052IPhysician AssistantINTBD

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 46410)

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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: 7315922267View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyNY
Diagnostic RadiologyOH
Diagnostic RadiologyIN
-MN
Diagnostic RadiologyIN
-IN
Physician AssistantIN
Diagnostic RadiologyIN
Diagnostic RadiologyIN
Diagnostic RadiologyIN

Reviews

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Frequently asked questions

What is the registry number for NALINI KANDALLU (PA-C)?
The registry entry for NALINI KANDALLU (PA-C) shows NPI 1184613432.
Does the public listing show NALINI KANDALLU (PA-C) as active?
NALINI KANDALLU (PA-C)'s NPI record reflects an active status in NPPES.
Which specialty label fits NALINI KANDALLU (PA-C)?
NPPES ties NALINI KANDALLU (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is NALINI KANDALLU (PA-C) tied to Merrillville, Indiana?
If you are local to Merrillville, Indiana, NALINI KANDALLU (PA-C) may be relevant to your search.
Who maintains NALINI KANDALLU (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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