Nishanth Vallumsetla

  • Urbana, IL
  • Pulmonologist
NPI1134589799PAC ID7911387964
Medicare services, 2024
388
Medicare patients, 2024
146
Part D claims, 2024
551
Publications
12
Hospital affiliations
3
Practice address
1400 West Park Avenue, Urbana, IL 61801
Practice phone
Call (217) 337-2000
Professional email
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Personal email
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Mobile number
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Social profiles

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Nishanth Vallumsetla is a pulmonologist in Urbana, Illinois

Nishanth Vallumsetla practices at OSF HealthCare Sacred Heart Medical Center - Urbana in Urbana, Illinois, part of OSF HealthCare System.

Nishanth Vallumsetla's NPI, 1134589799, was assigned on February 25, 2016. Nishanth Vallumsetla holds Illinois license 0.36159074.

NPI and contact details
Medicare PAC ID
7911387964
NPI enumeration date
February 25, 2016
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(217) 337-2000
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
41
Medical school graduation
2011

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Nishanth Vallumsetla practices at OSF HealthCare Sacred Heart Medical Center - Urbana in Urbana, Illinois

Nishanth Vallumsetla's primary practice is OSF HealthCare Sacred Heart Medical Center - Urbana, at 1400 West Park Avenue, Urbana, IL 61801 in Champaign County. The practice phone is (217) 337-2000.

Source: Dmand AI Affiliation Data

Nishanth Vallumsetla is affiliated with 4 sites of care and 1 medical group

Nishanth Vallumsetla's primary practice is OSF HealthCare Sacred Heart Medical Center - Urbana in Urbana, Illinois, part of OSF HealthCare System. Nishanth Vallumsetla is also affiliated with Geisinger Wyoming Valley Medical Center. The medical group on file is Lehigh Valley Physician Group (LVPG). Dmand AI also links Nishanth Vallumsetla to 1 more hospital and 1 group practice or clinic, each named with a free account.

See all 5 affiliations for Nishanth Vallumsetla

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Nishanth Vallumsetla's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Nishanth Vallumsetla practices, 4 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
OSF HealthCare Sacred Heart Medical Center - UrbanaAvailable with a free account
+3 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Nishanth Vallumsetla is one of 517 pulmonologists in Illinois

Pulmonary disease is Nishanth Vallumsetla's primary specialty in the NPI Registry, under taxonomy code 207RP1001X. Nishanth Vallumsetla is licensed in Illinois.

Specialties and state licenses

  • Pulmonary disease, IllinoisPrimaryLicense 0.36159074 · taxonomy 207RP1001X

Pulmonologists near Nishanth Vallumsetla

Counts of pulmonologists with a Dmand AI profile, by place and practice. Each opens the list.

517pulmonologists in Illinois
7pulmonologists in Urbana

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Nishanth Vallumsetla billed Medicare for 388 services in 2024

CMS data shows 388 Medicare services from Nishanth Vallumsetla across 13 procedure codes in 2024, for 146 Medicare patients. Medicare paid $25,645 for them.

Medicare services, 2024388
Medicare patients146
Paid by Medicare$25,645
Procedure codes13

Nishanth Vallumsetla's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 1682024: 22635%
Tests and treatments
2023: 1452024: 16212%

Where Nishanth Vallumsetla's Medicare services took place, 2024

  • In an office8923%
  • In a facility29977%

Nishanth Vallumsetla compared with the Illinois median for pulmonologists, 2024

  • Nishanth Vallumsetla
  • Illinois median
Medicare services
388vs 76950% below
Medicare patients
146vs 34157% below
Part D claims
424vs 49214% below

Medians across 522 pulmonologists in Illinois with Dmand AI profiles that report each measure.

Nishanth Vallumsetla's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Nishanth Vallumsetla

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Nishanth Vallumsetla treated 146 Medicare patients in 2024, average age 75

CMS counts 146 Medicare patients who saw Nishanth Vallumsetla in 2024. The largest group is 65 to 74, with 57 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 20% are also on Medicaid. Their average risk score is 1.87, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Nishanth Vallumsetla's median patient age at 67, with 49% women.

Medicare patients, 2024146
Average age75
Average risk score1.87
Also on Medicaid20%

Nishanth Vallumsetla's Medicare patients by age, 2024

Nishanth Vallumsetla's Medicare patients by sex, 2024

  • Women7149%
  • Men7551%

Chronic conditions among Nishanth Vallumsetla's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Ischemic heart disease61%
  4. COPD50%
  5. Arthritis46%
  6. Heart failure46%
  7. Diabetes45%
  8. Atrial fibrillation40%

Share of Medicare patients with each condition. A patient can have several.

Nishanth Vallumsetla's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 67

Patient panel by sex, all payers

  • Women49%
  • Men49%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Nishanth Vallumsetla wrote 551 Medicare Part D claims in 2024

In 2024, Nishanth Vallumsetla wrote 551 Medicare Part D claims for 95 patients. 39% of them were for generic drugs. CMS names the drug for 424 of them, across 12 drugs with 11 or more claims each, at $89,870 in total drug cost. In 2023, CMS named 115 claims across 6 drugs.

Part D claims, 2024551
Drugs named by CMS12
Total drug cost$89,870
Part D patients95

Nishanth Vallumsetla's Part D claims by kind of drug, 2024

  • Generic213 claims39%
  • Brand-name338 claims61%

Nishanth Vallumsetla's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Nishanth Vallumsetla's Part D claims, 2024

  • Antibiotics5%28 of 551 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 1152024: 424269%

Drugs named by CMS: 12 in 2024, 6 in 2023.

See all prescribing by Nishanth Vallumsetla

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

How Nishanth Vallumsetla takes part in Medicare

Nishanth Vallumsetla accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

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Nishanth Vallumsetla has 12 publications on record

Dmand AI links 12 papers to Nishanth Vallumsetla, published from 2014 to 2022. 2016 was the busiest year, with 4. The most frequent topics are Parenteral Nutrition, Home, Central Venous Catheters and Double-Blind Method. Nishanth Vallumsetla has published most often in Nutr Clin Pract. Nishanth Vallumsetla's most frequent co-authors are Ryan T. Hurt, MD, Manpreet Singh Mundi, MD and Sara Lr Bonnes, MD.

Papers12
Years published2014 to 2022

Nishanth Vallumsetla's papers by year, 2014 to 2022

Topics Nishanth Vallumsetla writes about most

  • Parenteral Nutrition, Home
  • Central Venous Catheters
  • Double-Blind Method

Nishanth Vallumsetla's most frequent co-authors

Recent publications by Nishanth Vallumsetla

See all 12 publications and co-authors

See who Nishanth Vallumsetla researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Nishanth Vallumsetla works with, so you can find a warm path to the right pulmonologists.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Nishanth Vallumsetla received $859 in industry payments from 2021 to 2024

CMS Open Payments shows 10 general payments to Nishanth Vallumsetla from 6 drug and device companies from 2021 to 2024. Food and beverage make up the largest share, 73% of the total. Intuitive Surgical, Inc. paid the most, $379.

General payments to Nishanth Vallumsetla by program year, 2021 to 2024

General payments to Nishanth Vallumsetla by kind, 2021 to 2024

$859in total
  • Food and beverage$62673%
  • Travel and lodging$23327%

Companies that paid Nishanth Vallumsetla the most, 2021 to 2024

Share is of all general payments to this clinician.

See all payments to Nishanth Vallumsetla

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Sources for Nishanth Vallumsetla's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Nishanth Vallumsetla

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Nishanth Vallumsetla's NPI number?

Nishanth Vallumsetla's NPI number is 1134589799. It was assigned on February 25, 2016, and it is active in the NPI Registry.

What does Nishanth Vallumsetla specialize in?

Nishanth Vallumsetla is a pulmonologist in Urbana, Illinois. The primary specialty in the NPI Registry is Pulmonary Disease Physician (taxonomy code 207RP1001X).

Where does Nishanth Vallumsetla practice?

Nishanth Vallumsetla practices at 1400 West Park Avenue, Urbana, IL 61801. Nishanth Vallumsetla's primary practice is OSF HealthCare Sacred Heart Medical Center - Urbana in Urbana, Illinois, part of OSF HealthCare System. Dmand AI also links Nishanth Vallumsetla to 1 hospital and 1 group practice or clinic.

What is Nishanth Vallumsetla's office phone number?

The practice phone on file for Nishanth Vallumsetla is (217) 337-2000.

What is Nishanth Vallumsetla's medical license number?

Nishanth Vallumsetla holds Illinois license 0.36159074.

Which hospitals is Nishanth Vallumsetla affiliated with?

Nishanth Vallumsetla practices at OSF HealthCare Sacred Heart Medical Center - Urbana in Urbana, Illinois. Nishanth Vallumsetla is also affiliated with Geisinger Wyoming Valley Medical Center. Dmand AI links Nishanth Vallumsetla to 1 more hospital.

What medical group is Nishanth Vallumsetla part of?

Nishanth Vallumsetla is linked to Lehigh Valley Physician Group (LVPG).

Does Nishanth Vallumsetla accept Medicare?

Yes. CMS data shows Nishanth Vallumsetla billed Medicare for 388 services in 2024, and Nishanth Vallumsetla accepts Medicare assignment.

How many Medicare patients does Nishanth Vallumsetla see?

CMS counts 146 Medicare patients who saw Nishanth Vallumsetla in 2024, with an average age of 75.

What services does Nishanth Vallumsetla bill to Medicare?

In 2024, Nishanth Vallumsetla's most billed Medicare services were critical care (99291), lung function service (94726) and lung function service (94729).

Show 5 more questionsShow fewer questions

What drugs does Nishanth Vallumsetla prescribe most?

In 2024 Medicare Part D data, Nishanth Vallumsetla's most prescribed drugs by claims were Albuterol Sulfate Hfa, Trelegy Ellipta and Prednisone.

Has Nishanth Vallumsetla received payments from drug or device companies?

CMS Open Payments shows $859 in general payments to Nishanth Vallumsetla from 6 companies from 2021 to 2024. The largest total came from Intuitive Surgical, Inc.

How long has Nishanth Vallumsetla been practicing?

Nishanth Vallumsetla graduated from medical school in 2011, 15 years ago.

Does Nishanth Vallumsetla do research?

Dmand AI links 12 publications to Nishanth Vallumsetla, published from 2014 to 2022.

Who does Nishanth Vallumsetla publish with?

Nishanth Vallumsetla's most frequent co-authors are Ryan T. Hurt, MD (6 shared papers), Manpreet Singh Mundi, MD (6 shared papers) and Sara Lr Bonnes, MD (4 shared papers).

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