Dr Surya K Nallari, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Demotte, Indiana. His current practice location is
417 N Halleck St, Demotte, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 987-6010.
Dr Surya K Nallari is licensed to practice in Indiana (license number 01037891) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760478853.
Physician's Profile
Full Name | Dr Surya K Nallari |
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Gender | Male |
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Speciality | Internal Medicine - Geriatric Medicine |
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Location | 417 N Halleck St, Demotte, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760478853
- Provider Enumeration Date: 09/23/2005
- Last Update Date: 03/16/2017
Medicare PECOS Information:
- PECOS PAC ID: 9133141781
- Enrollment ID: I20051222000490
Medical Identifiers
Medical identifiers for Dr Surya K Nallari such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760478853 | NPI | - | NPPES |
100143080A | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RG0300X | Internal Medicine - Geriatric Medicine | 01037891 (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Surya K Nallari is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Surya K Nallari, MD 1608 Lincolnway, Ste G, Valparaiso, IN 46383-5852 Ph: (219) 987-6010 | Dr Surya K Nallari, MD 417 N Halleck St, Demotte, IN 46310-9419 Ph: (219) 987-6010 |
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