Varalaxmi Bhavani Nannaka, M.D.
NPI 1003198391ActiveIndividual· Internal Medicine, Pulmonary Disease· Tyler, TX
Internal Medicine, Pulmonary Disease (M.D.) with Etmc Physician Group, Inc., practicing in Tyler, Texas. Their prescriptions cost Medicare Part D more than their services did: $1,042,716 for 1,504 claims, against $187,864 paid for services in 2024. Glaxosmithkline, LLC. was the largest of 13 companies reporting payments in 2025, $895.92 in all, mostly food and beverage. Lists University of Texas Health Science Center at Tyler and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1003198391 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Sep 13, 2011 |
| Last updated in NPPES | Nov 21, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | R2182 | TX |
| Internal Medicine, Critical Care Medicine | 207RC0200X | R2182 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pulmonary Disease (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 702 |
|---|---|
| Services billed | 2,662 across 55 procedure codes |
| Paid by Medicare | $187,864 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,504 · 1,851 30-day fills |
|---|---|
| Patients | 300 |
| Total drug cost | $1,042,716 |
| Generic share | 31% of claims |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Pulmonary Disease |
| Secondary specialties | Critical Care (Intensivists) |
Medical group
- Etmc Physician Group, Inc.Flint, TX · 381 clinicians
Hospital affiliations
- University of Texas Health Science Center at TylerTyler, TX
- Ut Health East Texas Athens HospitalAthens, TX
- Ut Health East Texas Henderson HospitalHenderson, TX
- Ut Health East Texas Jacksonville HospitalJacksonville, TX
- Ut Health East Texas Tyler Regional HospitalTyler, TX
Industry payments (Open Payments)
- 2025$895.92 · 50 payments from 13 companies
- 2024$481.94 · 31 payments from 12 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Glaxosmithkline, LLC. | $323.68 | 25 |
| Genzyme Corporation | $100.92 | 4 |
| Sanofi-Aventis U.S. LLC | $99.00 | 1 |
| Astrazeneca Pharmaceuticals LP | $78.54 | 5 |
| Merck Sharp & Dohme LLC | $59.72 | 3 |
What the 2025 payments were for
- Food and Beverage$796.92 · 49 payments
- Education$99.00 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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