MANIKA SURYADEVARA MD
NPI 1124295696
Hospitalist in Syracuse, NY

Q: What is Manika Suryadevara's NPI number?

The NPI number for Manika Suryadevara is 1124295696. It was assigned to this individual provider in the NPPES registry on May 13, 2008.

Q: What is Manika Suryadevara's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since May 13, 2008PECOS Enrolled

750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-5450(315) 464-6322 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Manika Suryadevara Md NPPES

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

MANIKA SURYADEVARA MD (NPI 1124295696) is an individual hospitalist provider in Syracuse, New York, licensed in New York (264579) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124295696

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameMANIKA SURYADEVARACredential: MD

Location Address750 E ADAMS STSyracuse, NY 13210-2342

Mailing Address750 E Adams StSyracuse, NY 13210-2342 · (315) 464-5450 · Fax (315) 464-6322

Phone(315) 464-5450

Fax(315) 464-6322

Sole ProprietorNo

Enumeration DateMay 13, 2008

Last NPPES UpdateAugust 27, 2013

✔ NPI 1124295696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in NY · 264579

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedPediatrics · Pediatric Infectious DiseasesTaxonomy 2080P0208X · License 264579 (NY)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

750 E ADAMS ST, Syracuse, NY 13210

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Other Identifiers 2

Medicaid03470335NY

Medicare PINJ400073099NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manika Suryadevara Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Manika Suryadevara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatric Service Group

0.1 mi

Pediatrics

750 E. ADAMS ST., 5TH FLOOR
Syracuse, NY 13210

Reassigned Medicare billing, New York enrollment
131 clinicians in this Medicare group

NPI 1770539066 (315) 464-5450

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DAVID M KANTER MD

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