DR. SOWMYA NANJAPPA (MD) – Infectious Disease Physician, NPI 1942565403

DR. SOWMYA NANJAPPA (MD) is a healthcare provider. based in Front royal, Virginia. specializing in INFECTIOUS DISEASE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 30918 (WV). The NPI Number for DR. SOWMYA NANJAPPA (MD) is 1942565403

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. SOWMYA NANJAPPA (MD)
NPI
1942565403
Phone
(833) 717-1716
Address
351 Valley Health Way
Enumeration Date
11 July 2012
Last Update Date
28 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4694082530
Graduation Year
2005 (21 years ago)
PAC ID
4981825379
Group Practice PAC ID
3577785088
Professional Enrollment ID
I20240521004715
Address ID
TX750935826PL4100XSTXX405

Contacts

Secure Messaging
sowmya.nanjappa@upmcdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:13State licenses:5Other namesUpdated within 12 months

250 INFECTIOUS DISEASE in VA

Provider Addresses for DR. SOWMYA NANJAPPA (MD)

  • 351 Valley Health Way

    Front Royal, VA 226306480

    Phone: (833) 717-1716

    Fax: (540) 536-0249

    Type: Location

  • 200 Memorial Dr

    Luray, VA 228351000

    Phone: (833) 717-1716

    Fax: (540) 536-0249

    Type: Location

  • 1840 Amherst St

    Winchester, VA 226012808

    Phone: (337) 171-7168

    Fax: (540) 536-0249

    Type: Location

  • 333 W Cork St Ste 100

    Winchester, VA 226013870

    Phone: (337) 171-7168

    Fax: (540) 536-0249

    Type: Location

  • 12902 USF MAGNOLIA DR

    TAMPA, FL 336129416

    Phone: (813) 745-3134

    Fax: (813) 745-1038

    Type: Mailing

  • 4100 W 15TH ST STE 110

    PLANO, TX 750935826

    Phone: (469) 408-9558

    Fax: (888) 393-5922

    Type: Mailing

  • 759 S Main St

    Woodstock, VA 226641154

    Phone: (833) 717-1716

    Fax: (540) 536-0249

    Type: Location

  • 363 Sunrise Blvd

    Romney, WV 267574607

    Phone: (833) 717-1716

    Fax: (540) 536-0249

    Type: Location

  • 2 Hot Metal St Ste 1

    Pittsburgh, PA 152032348

    Phone: (412) 647-7228

    Type: Location

  • 1 Healthy Way

    Berkeley Springs, WV 254117463

    Phone: (337) 171-7168

    Fax: (540) 536-0249

    Type: Location

  • 3601 5TH AVE STE 700

    PITTSBURGH, PA 152133403

    Phone:

    Type: Mailing

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: 2024-05-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 8 Medicare enrollment records; no due dates published yet.

Enrollment records

8

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
I20180618001499IInfectious DiseasePATBD
I20201016000363IInfectious DiseaseVATBD
I20211027002152IInfectious DiseaseNCTBD
I20230125001439IInfectious DiseaseWVTBD
I20230210000676IInfectious DiseaseNMTBD
I20230309002880IInfectious DiseaseWATBD
I20240301002227IInfectious DiseaseALTBD
I20240521004715IInfectious DiseaseTXTBD

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
G0426Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth1818$0
99214Established patient office or other outpatient visit, 30-39 minutes1714$0
99451Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes1614$0
G0427Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth1414$0
View full utilization report →

Insurance plans in this area (ZIP 22630)

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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: 3577785088View full group profile
NameSpecialtyState
Infectious Disease, Internal MedicineTX

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Frequently asked questions

What number should I use to identify DR. SOWMYA NANJAPPA (MD) for billing?
Administrative and clinical systems typically use NPI 1942565403 for DR. SOWMYA NANJAPPA (MD).
Is DR. SOWMYA NANJAPPA (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. SOWMYA NANJAPPA (MD) as active.
What does the directory say DR. SOWMYA NANJAPPA (MD) does?
Insurance directories may phrase it differently, but here DR. SOWMYA NANJAPPA (MD) maps to Infectious Disease Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. SOWMYA NANJAPPA (MD)?
The directory associates DR. SOWMYA NANJAPPA (MD) with Front Royal, Virginia. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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