Ms Kranthi Nomula, MD is a medicare enrolled "Allergy & Immunology" physician in Bismarck, North Dakota. Her current practice location is
4535 Northern Sky Dr, Bismarck, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 323-8989.
Ms Kranthi Nomula is licensed to practice in North Dakota (license number 22623) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710508072.
Physician's Profile
| Full Name | Ms Kranthi Nomula |
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| Gender | Female |
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| Speciality | Allergy & Immunology |
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| Location | 4535 Northern Sky Dr, Bismarck, North Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1710508072
- Provider Enumeration Date: 04/28/2020
- Last Update Date: 07/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 8022430727
- Enrollment ID: I20200625002974
Medical Identifiers
Medical identifiers for Ms Kranthi Nomula such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710508072 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | ME0162797 (Florida) | Secondary |
| 207K00000X | Allergy & Immunology | 22623 (North Dakota) | 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. Ms Kranthi Nomula 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 |
|---|
Ms Kranthi Nomula, MD
4535 Northern Sky Dr,
Bismarck, ND 58503-8538
Ph: () - | Ms Kranthi Nomula, MD
4535 Northern Sky Dr,
Bismarck, ND 58503-8538
Ph: (701) 323-8989 |
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