Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · CMS publication 2026-06-30 View official record

Covered recipient · General Payments record

VARALAXMI NANNAKA

Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease

NPI
1003198391
CMS profile
3456978
Location
TYLER, TX

A name match is not confirmation of identity. CMS publishes records for different people under similar names; the NPI, specialty, and location shown on this page are the CMS-published fields that distinguish them.

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General Payments · PY2022 · Entire year

$8,103.01

94 records · 0 disputed

Summary and payment records

  • CMS publication 2026-06-30
Read the payment records

“Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.”

— Centers for Medicare & Medicaid Services, Open Payments

A reported payment reflects a financial relationship a company disclosed. It does not indicate wrongdoing or a conflict of interest, and it says nothing about the quality of a provider's care.

These records are submitted to CMS and attested to by the reporting companies. CMS publishes them as reported; this site mirrors them without independent verification.

A payment attributed to a provider may have been made to a third party — a hospital, practice, or research institution — rather than paid to the provider personally.

How these totals are calculated
  • This total is the sum of the individual General Payments record amounts CMS published for the labeled program year(s); each record amount is used unmodified. The total itself is computed by this site. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Methodology & Data — sourcing, labeling, and limitations.

Provider summaries generated . CMS updates this data on an annual cycle, and corrections or successful disputes made at CMS may not yet appear here. The official CMS record is authoritative for the current state. View the official CMS record ↗

By nature of payment

PY2022 · entire year · sorted by reported total

Nature of paymentAmountRecords
Education $6,076.99 3
Food and Beverage $1,518.19 87
Travel and Lodging $507.83 4

By paying entity

PY2022 · entire year · sorted by reported total

Payment records · PY2022

Ordering applied by this site (date, newest first, then paying entity) · record values are shown as CMS published them

General Payments · PY2022 · Physicians and non-physician practitioners · CMS publication 2026-06-30

94 matching records · $8,103.01 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 94 matching records (CSV)

CSV includes CMS record IDs, source and publication dates, the data edition, and a link to these filters. Formula-like text cells are prefixed with an apostrophe for spreadsheet safety.

Showing records 1–50 of 94.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
GlaxoSmithKline, LLC. $11.4812/21/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944900283 CMS
Gilead Sciences, Inc. $15.7012/20/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026929638729 CMS
Exeltis, USA Inc. $21.4512/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026947125467 CMS
GlaxoSmithKline, LLC. $10.0712/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944900219 CMS
GlaxoSmithKline, LLC. $9.9712/13/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944900291 CMS
GlaxoSmithKline, LLC. $10.0812/12/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944900189 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $13.6212/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026887513911 CMS
AstraZeneca Pharmaceuticals LP $17.0912/06/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026915146809 CMS
Actelion Pharmaceuticals US, Inc. $22.1311/22/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026885421165 CMS
GlaxoSmithKline, LLC. $9.9911/22/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944900207 CMS
GlaxoSmithKline, LLC. $9.0411/16/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944900287 CMS
Intuitive Surgical, Inc. $164.1211/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026960683597 CMS
Intuitive Surgical, Inc. $115.3711/09/2022 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026960683599 CMS
GlaxoSmithKline, LLC. $6.9910/31/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944900263 CMS
GlaxoSmithKline, LLC. $10.7710/04/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944900271 CMS
GENZYME CORPORATION $24.6410/03/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026938749975 CMS
AstraZeneca Pharmaceuticals LP $12.9109/30/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026915740975 CMS
Gilead Sciences, Inc. $16.8609/30/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026929638731 CMS
AstraZeneca Pharmaceuticals LP $11.7109/27/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026915129467 CMS
AstraZeneca Pharmaceuticals LP $13.4309/27/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026915371729 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $23.1609/22/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026887513913 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $1.4709/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026887513915 CMS
AstraZeneca Pharmaceuticals LP $15.4009/13/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026914750459 CMS
Mylan Specialty L.P. $19.1809/13/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026963923503 CMS
AstraZeneca Pharmaceuticals LP $16.7809/07/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026914787677 CMS
GlaxoSmithKline, LLC. $12.9109/06/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944900227 CMS
GENZYME CORPORATION $29.1109/01/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026938749967 CMS
INTUITIVE SURGICAL, INC. $91.4508/30/2022 Food and Beverage No dispute reported Delay: No
Change: NEW
06/30/20261156549320 CMS
Intuitive Surgical, Inc. $3,000.0008/26/2022 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026960621739 CMS
Intuitive Surgical, Inc. $3,000.0008/25/2022 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026960621737 CMS
GlaxoSmithKline, LLC. $7.0908/23/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944900279 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $26.6908/22/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026887513917 CMS
Mylan Specialty L.P. $12.9308/17/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026963919431 CMS
Baxter Healthcare $16.6308/14/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026888399325 CMS
GlaxoSmithKline, LLC. $8.9408/11/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944900259 CMS
AstraZeneca Pharmaceuticals LP $16.2508/09/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026914911061 CMS
Exeltis, USA Inc. $13.7708/08/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026947125463 CMS
AstraZeneca Pharmaceuticals LP $13.1308/05/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026915818671 CMS
GlaxoSmithKline, LLC. $5.1808/05/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944900235 CMS
Actelion Pharmaceuticals US, Inc. $76.9908/03/2022 Education No dispute reported Delay: No
Change: UNCHANGED
06/30/2026885421151 CMS
Actelion Pharmaceuticals US, Inc. $20.6908/03/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026885421153 CMS
GENZYME CORPORATION $29.2208/01/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026938749957 CMS
Gilead Sciences, Inc. $20.5307/26/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026929638733 CMS
Actelion Pharmaceuticals US, Inc. $4.6307/20/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026885421161 CMS
Actelion Pharmaceuticals US, Inc. $15.1007/20/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026885421163 CMS
AstraZeneca Pharmaceuticals LP $17.1007/19/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026915744929 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $12.1507/15/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026887360551 CMS
Intuitive Surgical, Inc. $128.8207/14/2022 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026960621743 CMS
Intuitive Surgical, Inc. $257.6407/13/2022 Travel and Lodging No dispute reported Delay: No
Change: UNCHANGED
06/30/2026960621745 CMS
GlaxoSmithKline, LLC. $15.3507/12/2022 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026944900267 CMS

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $451.16 35
PY2020 $386.28 26
PY2021 $185.91 12
PY2022 $8,103.01 94
PY2023 $1,021.86 67
PY2024 $481.94 31
PY2025 $895.92 50

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files and profile matching
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

One page per canonical provider; split Profile_IDs are merged via Associated_Covered_Recipient_Profile_ID_1/_2 from the Covered Recipient Profile Supplement.

Corrections to the substance of a record route to CMS through its review-and-dispute process; errors in how this site mirrors or displays a record route to us. Both paths are described in Methodology & Data.

Cite this record.

Plain
VARALAXMI NANNAKA, NPI 1003198391. IndustryPayments, data edition 2026-07-26T04:22:22Z. https://industrypayments.org/provider/npi-1003198391.
APA 7
IndustryPayments. (2026). VARALAXMI NANNAKA, NPI 1003198391 (Data edition 2026-07-26T04:22:22Z) [Data set]. https://industrypayments.org/provider/npi-1003198391
Bluebook
VARALAXMI NANNAKA, NPI 1003198391, IndustryPayments (data edition 2026-07-26T04:22:22Z), https://industrypayments.org/provider/npi-1003198391.

Source: Centers for Medicare & Medicaid Services, Open Payments.