Sudhir Bhargav Vyakaranam, MD
NPI 1407019037ActiveIndividual· Internal Medicine, Nephrology· Mishawaka, IN
Internal Medicine, Nephrology (MD) with Nephrology Physicians, LLC, practicing in Mishawaka, Indiana. Their prescriptions cost Medicare Part D more than their services did: $596,019 for 5,126 claims, against $185,379 paid for services in 2024. Otsuka America Pharmaceutical, Inc. was the largest of 13 companies reporting payments in 2025, $599.02 in all, mostly food and beverage. Lists Community Hospital of Bremen Inc and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1407019037 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jul 3, 2008 |
| Last updated in NPPES | Apr 2, 2020 |
| Certified by provider | Apr 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | 01069102A | IN |
| Internal Medicine | 207R00000X | MT 187877 | PA |
| Internal Medicine | 207R00000X | 35095420 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nephrology (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 559 |
|---|---|
| Services billed | 1,835 across 26 procedure codes |
| Paid by Medicare | $185,379 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,126 · 10,629 30-day fills |
|---|---|
| Patients | 611 |
| Total drug cost | $596,019 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Nephrology |
| Secondary specialties | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Nephrology Physicians, LLCPlymouth, IN · 11 clinicians
Hospital affiliations
- Community Hospital of Bremen IncBremen, IN
- Elkhart General HospitalElkhart, IN
- Goshen HospitalGoshen, IN
- Memorial Hospital of South BendSouth Bend, IN
- Saint Joseph Regional Medical CenterMishawaka, IN
Other facilities
- Dialyze Direct Carmel, inDialysis facility · Carmel, IN
- Fmc - Nephrology - GoshenDialysis facility · Goshen, IN
- Fmc - Nephrology - BlackthornDialysis facility · South Bend, IN
- Fmc - Nephrology - HomeDialysis facility · Mishawaka, IN
Industry payments (Open Payments)
- 2025$599.02 · 28 payments from 13 companies
- 2024$841.04 · 47 payments from 16 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | $109.24 | 4 |
| Amgen Inc. | $101.03 | 6 |
| Astrazeneca Pharmaceuticals LP | $75.11 | 4 |
| Travere Therapeutics, Inc. | $74.44 | 2 |
| Novartis Pharmaceuticals Corporation | $42.73 | 2 |
What the 2025 payments were for
- Food and Beverage$583.30 · 27 payments
- Education$15.72 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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