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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. GNANA SUNDERAM MD
NPI 1164446761
Internal Medicine in East Orange, NJ

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
310 CENTRAL AVE, SUITE 205, EAST ORANGE, NJ 07018(973) 266-9111(973) 266-1227 Get Directions Write a Review

NPPES record last updated: August 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 9, 2026, Jun 10, 2024 (2 updates tracked since 2024).

About Dr. Gnana Sunderam Md NPPES

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

DR. GNANA SUNDERAM MD (NPI 1164446761) is an individual internal medicine provider in East Orange, New Jersey, licensed in New Jersey (25MA0429800) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Carewell Health Medical Center, and is a graduate of Rutgers New Jersey Medical School (1986).

NPPES Registry Identity

NPI1164446761
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GNANA SUNDERAMCredential: MD
Location Address310 CENTRAL AVE, SUITE 205East Orange, NJ 07018-2835
Mailing Address310 Central Ave, Suite 205East Orange, NJ 07018-2835 · (973) 266-9111 · Fax (973) 266-1227
Phone(973) 266-9111
Fax(973) 266-1227
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1986
Enumeration DateJuly 27, 2006
Last NPPES UpdateAugust 9, 20262 updates tracked since enumeration
NPPES CertifiedJune 10, 2024
✔ NPI 1164446761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA0429800
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 25MA0429800 (NJ)
310 CENTRAL AVE, East Orange, NJ 07018
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Other Identifiers 1

Medicaid1264508NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gnana Sunderam Md 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 ID4587857552
PECOS Enrollment IDI20101022000440
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.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,097 services80 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
249 services57 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
234 services50 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
226 services68 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
146 services47 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
131 services41 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carewell Health Medical Center

Acute Care Hospitals · East Orange, NJ
1/5 CMS rating
OwnershipProprietary
CMS Certification Number310083
Location300 Central AveEast Orange, NJ 07018 · Essex County
Emergency services

Saint Michael's Medical Center

Acute Care Hospitals · Newark, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310096
Location111 Central AvenueNewark, NJ 07102 · Essex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07018 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
94%2,751 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%2,100 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
13%24 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
48%334 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
98%612 patients5/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 461 patients
Patients tobacco: 78% · 461 patients
3%106 patients1/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
14%334 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%334 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 16% · 215 patients
30%215 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
1 supplier12 claims390 services$5.82 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier12 claims390 services$4.36 avg. paid by Medicare
Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
1 supplier12 claims75 services$3.29 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier42 claims596 services$4.29 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
1 supplier18 claims3,735 services$0.92 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
1 supplier21 claims6,609 services$0.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. VICTOR T VERLEZZA D.C.
Chiropractor
310 CENTRAL AVE, SUITE 307
EAST ORANGE, NJ 07018
Essex County (973) 266-7860
DR. NABEEL OBAID MD
Internal Medicine (Infectious Disease)
310 CENTRAL AVE, SUITE 102
EAST ORANGE, NJ 07018
Essex County (201) 512-9494
LIANMED INC
Internal Medicine (Infectious Disease)
310 CENTRAL AVE, SUITE 102
EAST ORANGE, NJ 07018
Essex County (201) 512-9494
ESSEX VALLEY SPINE CARE PC
Chiropractor (Rehabilitation)
310 CENTRAL AVE, SUITE 307
EAST ORANGE, NJ 07018
Essex County (973) 266-7860
SMITH CENTER FOR INFECTIOUS DISEASES AND URBAN HEALTH, P.A.
Voluntary or Charitable
310 CENTRAL AVE, SUITE 307- TIMESHARE
EAST ORANGE, NJ 07018
Essex County (973) 809-4550
ORANGE MEDICAL GROUP PA
Internal Medicine (Hematology & Oncology)
310 CENTRAL AVE, SUITE 106
EAST ORANGE, NJ 07018
Essex County (973) 674-4542
EAST ORANGE PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
310 CENTRAL AVE, STE 111
EAST ORANGE, NJ 07018
Essex County (973) 674-5777
A1 MEDICAL CARE PC
Clinic/Center (Primary Care)
310 CENTRAL AVE, SUITE 310
EAST ORANGE, NJ 07018
Essex County (973) 678-2900

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 Gnana Sunderam's NPI number?

The NPI number for Gnana Sunderam is 1164446761. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Gnana Sunderam located?

Gnana Sunderam practices at 310 Central Ave Suite 205, East Orange, NJ 07018. The listed phone number is (973) 266-9111.

What is Gnana Sunderam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gnana Sunderam enrolled in Medicare?

Yes. Gnana Sunderam 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.

What insurance does Gnana Sunderam accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Gnana Sunderam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gnana Sunderam affiliated with any hospitals?

According to CMS data, Gnana Sunderam is affiliated with Carewell Health Medical Center and Saint Michael's Medical Center.

When was this NPI record last updated?

The NPPES record for Gnana Sunderam was last updated on August 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.