Nandi Sundaram, PT, MPT is a medicare enrolled "Physical Therapist" physician in Tustin, California. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice State-of-the-art Physical Therapy, Inc. and his current practice location is
2492 Walnut Ave Ste 140, Tustin, California. You can reach out to his office (for appointments etc.) via phone at
(714) 544-2188.
Nandi Sundaram is licensed to practice in California (license number PT29433) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568650794.
Physician's Profile
| Full Name | Nandi Sundaram |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 20 Years |
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| Location | 2492 Walnut Ave Ste 140, Tustin, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nandi Sundaram graduated from medical school in 2004
NPI Data:
- NPI Number: 1568650794
- Provider Enumeration Date: 10/12/2007
- Last Update Date: 02/28/2014
Medicare PECOS Information:
- PECOS PAC ID: 5496839912
- Enrollment ID: I20080222000124
Medical Identifiers
Medical identifiers for Nandi Sundaram such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568650794 | NPI | - | NPPES |
| PT29433 | Other | CA | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | PT29433 (California) | Secondary |
| 225100000X | Physical Therapist | PT29433 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| State-of-the-art Physical Therapy, Inc. | 5496948952 | 9 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nandi Sundaram allows following entities to bill medicare on his behalf.
| Entity Name | State-of-the-art Physical Therapy, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437179959
PECOS PAC ID: 5496948952
Enrollment ID: O20140625000891 |
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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. Nandi Sundaram 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 |
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Nandi Sundaram, PT, MPT
2492 Walnut Ave Ste 140,
Tustin, CA 92780-6953
Ph: (714) 544-2188 | Nandi Sundaram, PT, MPT
2492 Walnut Ave Ste 140,
Tustin, CA 92780-6953
Ph: (714) 544-2188 |
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