Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kusuma Kalyani Nanduri, MD

Individual provider Internal Medicine Physician · NPI 1336247113

Dr. Kusuma Kalyani Nanduri, MD is an Internal Medicine in Fairfax, Virginia. Qualified in 1993, 33 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in District of Columbia, Maryland and Virginia.

Years since qualifying
33
Licensed in
DC, MD, VA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12255 Fair Lakes Pkwy Kaiser Permanente
Fairfax, VA 22033-3952
Phone: (703) 934-5700
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 0101244597 (VA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD040072 (DC)
Internal Medicine Physician Taxonomy 207R00000X · Licence D0063439 (MD)

Record details

NPI number1336247113
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESMay 30, 2021
Certification dateMay 30, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fairfax