Sudha Raj Kumar, NURSE PRACTITIONER
NPI 1275169187ActiveIndividual· Nurse Practitioner, Family· Elizabethton, TN
Nurse Practitioner, Family (NURSE PRACTITIONER) in Elizabethton, Tennessee, trained at East Tennessee State University Quillen College of Medicine (class of 2019). Their prescriptions cost Medicare Part D more than their services did: $108,886 for 1,111 claims, against $17,782 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 4 companies reporting payments in 2025, $208.35 in all, mostly food and beverage.
Overview
| NPI | 1275169187 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NURSE PRACTITIONER |
| Sole proprietor | No |
| NPI issued | Mar 23, 2020 |
| Last updated in NPPES | Sep 21, 2022 |
| Certified by provider | Sep 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 27158 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 113 |
|---|---|
| Services billed | 694 across 70 procedure codes |
| Paid by Medicare | $17,782 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,111 · 2,388 30-day fills |
|---|---|
| Patients | 238 |
| Total drug cost | $108,886 |
| Generic share | 85% of claims |
Education and affiliations
| Medical school | East Tennessee State University Quillen College of Medicine |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Nurse Practitioner |
Medical group
- Medical Care PLLCElizabethton, TN · 39 clinicians
Industry payments (Open Payments)
- 2025$208.35 · 8 payments from 4 companies
- 2024$101.50 · 6 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $89.25 | 4 |
| Lilly USA, LLC | $62.53 | 1 |
| Novo Nordisk Inc | $37.85 | 2 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $18.72 | 1 |
What the 2025 payments were for
- Food and Beverage$208.35 · 8 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 36 family nurse practitioners in Elizabethton · All family nurse practitioners in Tennessee