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 · PY2023 · Entire year

$1,021.86

67 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

PY2023 · entire year · sorted by reported total

Nature of paymentAmountRecords
Food and Beverage $1,021.86 67

By paying entity

PY2023 · entire year · sorted by reported total

Payment records · PY2023

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

General Payments · PY2023 · Physicians and non-physician practitioners · CMS publication 2026-06-30

67 matching records · $1,021.86 reported total · 0 disputed

Nature of payment: All payment types

Records imported here (UTC).

Link to these filtered records · CMS source dataset ↗

Download all 67 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 67.

Paying entityAmountDate Nature of paymentDispute statusPublication flagsPublished Record IDSource
GlaxoSmithKline, LLC. $0.5112/19/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261002852249 CMS
GlaxoSmithKline, LLC. $13.4712/19/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261002852303 CMS
GENZYME CORPORATION $24.7512/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261049640669 CMS
Inogen, Inc. $3.1512/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261040280017 CMS
GlaxoSmithKline, LLC. $4.2412/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261002847769 CMS
PFIZER INC. $21.1912/04/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261050198341 CMS
GlaxoSmithKline, LLC. $9.9111/29/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261002850121 CMS
GlaxoSmithKline, LLC. $9.3411/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261002852291 CMS
Mylan Specialty L.P. $18.9711/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261039133347 CMS
Inogen, Inc. $9.3211/09/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261040280009 CMS
GlaxoSmithKline, LLC. $12.8110/30/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261002845503 CMS
GlaxoSmithKline, LLC. $13.6010/27/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261002847831 CMS
GlaxoSmithKline, LLC. $12.5110/26/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261002852269 CMS
Mylan Specialty L.P. $19.5010/17/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261039127163 CMS
GlaxoSmithKline, LLC. $13.8110/12/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261002847711 CMS
GENZYME CORPORATION $29.8910/11/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261049640604 CMS
GlaxoSmithKline, LLC. $8.3110/10/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261002845593 CMS
GlaxoSmithKline, LLC. $7.5609/21/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261002847687 CMS
PFIZER INC. $18.3809/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261049957209 CMS
GlaxoSmithKline, LLC. $15.6209/13/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261002850045 CMS
Regeneron Healthcare Solutions, Inc. $29.4909/07/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026999323869 CMS
GlaxoSmithKline, LLC. $7.2708/24/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261002850021 CMS
Boehringer Ingelheim Pharmaceuticals, Inc. $20.8408/17/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026996925493 CMS
GlaxoSmithKline, LLC. $10.0708/08/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261002843123 CMS
Regeneron Healthcare Solutions, Inc. $34.0808/07/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026999323863 CMS
GlaxoSmithKline, LLC. $7.5007/25/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261002852315 CMS
GlaxoSmithKline, LLC. $14.2107/20/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261002852225 CMS
Inogen, Inc. $13.9707/12/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261040279997 CMS
Inogen, Inc. $1.8607/12/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261040280005 CMS
GlaxoSmithKline, LLC. $5.0807/11/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261002847791 CMS
Mylan Specialty L.P. $19.5507/10/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261039104997 CMS
GENZYME CORPORATION $22.9006/28/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261049640543 CMS
GlaxoSmithKline, LLC. $15.2306/27/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261002854163 CMS
Inogen, Inc. $7.1506/26/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261040279989 CMS
Regeneron Healthcare Solutions, Inc. $33.8605/31/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/2026999323857 CMS
AstraZeneca Pharmaceuticals LP $20.1405/26/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261016170141 CMS
GlaxoSmithKline, LLC. $17.1105/26/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261002847667 CMS
GlaxoSmithKline, LLC. $11.8105/23/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261002845575 CMS
Gilead Sciences, Inc. $14.0405/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261026021147 CMS
Takeda Pharmaceuticals U.S.A., Inc. $17.3805/01/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261055506621 CMS
AstraZeneca Pharmaceuticals LP $24.2904/28/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261011355799 CMS
GlaxoSmithKline, LLC. $4.2204/28/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261002852177 CMS
Fisher & Paykel Healthcare Inc $15.4304/26/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261033621255 CMS
Gilead Sciences, Inc. $21.8004/19/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261025752547 CMS
GlaxoSmithKline, LLC. $9.7504/18/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261002849987 CMS
Baxter Healthcare $17.7904/17/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261000160969 CMS
Mylan Specialty L.P. $20.5404/04/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261039080079 CMS
GlaxoSmithKline, LLC. $7.8703/27/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261002847781 CMS
GENZYME CORPORATION $27.3103/23/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261049640435 CMS
Baxter Healthcare $16.0403/14/2023 Food and Beverage No dispute reported Delay: No
Change: UNCHANGED
06/30/20261000160959 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.