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MANOJ MADHU SANGORAM D.O.
NPI 1093034803
Anesthesiology in Bronx, NY

Active since May 19, 2010PECOS EnrolledAccepts Medicare Assignment
111 E 210TH ST, BRONX, NY 10467(847) 971-6696 Get Directions Write a Review

NPPES record last updated: May 19, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Manoj Madhu Sangoram D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANOJ MADHU SANGORAM D.O. (NPI 1093034803) is an individual anesthesiology provider in Bronx, New York, licensed in California (20A11181) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2006).

NPPES Registry Identity

NPI1093034803
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameMANOJ MADHU SANGORAMCredential: D.O.
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address3450 Wayne Ave, Apt. 20gBronx, NY 10467-2510 · (847) 971-6696
Phone(847) 971-6696
Sole ProprietorYes
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2006
Enumeration DateMay 19, 2010
✔ NPI 1093034803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · 20A11181
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
111 E 210TH ST, Bronx, NY 10467
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Manoj Madhu Sangoram D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315078482
PECOS Enrollment IDI20100706000714
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Manoj Sangoram reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Palm Springs Anesthesia Services, PC
2,404 mi
Anesthesiology
2101 N WATERMAN AVE
San Bernardino, CA 92404
  • Reassigned Medicare billing, California enrollment
  • 270 clinicians in this Medicare group
NPI 1083928501 (914) 491-9495
Coachella Valley Anesthesia A Professional Corporation
2,460 mi
Anesthesiology
420 34TH ST
Bakersfield, CA 93301
  • Reassigned Medicare billing, California enrollment
  • 183 clinicians in this Medicare group
NPI 1013662048 (760) 538-5898

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
MS. JOHANNA SHEA-FEN TAN
Student in an Organized Health Care Education/Training Program
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
JACK DANIEL HALLIGAN MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manoj Sangoram's NPI number?

The NPI number for Manoj Sangoram is 1093034803. It was assigned to this individual provider in the NPPES registry on May 19, 2010.

Where is Manoj Sangoram located?

Manoj Sangoram practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (847) 971-6696.

What is Manoj Sangoram's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Manoj Sangoram enrolled in Medicare?

Yes. Manoj Sangoram is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Manoj Sangoram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manoj Sangoram reassigns Medicare benefits to 2 organizations: Palm Springs Anesthesia Services, PC (San Bernardino, CA) and Coachella Valley Anesthesia A Professional Corporation (Bakersfield, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Manoj Sangoram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Manoj Sangoram was last updated on May 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.