DR. RAJKUMAR K. SUGUMARAN M.D.
NPI 1184840506
Internal Medicine - Cardiovascular Disease in Phoenix, AZ

Active since April 17, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
9520 W PALM LN STE 150A, PHOENIX, AZ 85037(602) 584-5444(602) 584-6202 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2025, May 14, 2019 (2 updates tracked since 2019).

About Dr. Rajkumar K. Sugumaran M.d. NPPES

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

DR. RAJKUMAR K. SUGUMARAN M.D. (NPI 1184840506) is an individual cardiovascular disease provider in Phoenix, Arizona, licensed in Arizona (46010) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Wright State University Boonshoft School Of Medicine (2005).

NPPES Registry Identity

NPI1184840506
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. RAJKUMAR K. SUGUMARANCredential: M.D.
Location Address9520 W PALM LN STE 150APhoenix, AZ 85037-4403
Mailing Address9520 W Palm Ln Ste 150Phoenix, AZ 85037-4454 · (602) 584-5444 · Fax (602) 584-6202
Fax(602) 584-6202
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2005
Enumeration DateApril 17, 2007
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
NPI 1184840506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in AZ · 46010
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License 57.010937 (OH)
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 46010 (AZ)
9520 W PALM LN STE 150A, Phoenix, AZ 85037

Other Identifiers 2

Medicaid719735AZ
OtherP01224634AZ · Railroad Medicare

Accepted 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. Rajkumar K. Sugumaran M.d. 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 ID8628228053
PECOS Enrollment IDI20121022000189
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 32

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.

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.
1,305 services557 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
750 services15 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
721 services513 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.
656 services224 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
179 services173 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
151 services133 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85037 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims

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

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier16 claims16 services$2,086.86 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 2

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

Nurse Practitioner (Family)
9520 W PALM LN STE 150A
PHOENIX, AZ 85037
Physician Assistant
9520 W PALM LN STE 150A
PHOENIX, AZ 85037

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 Rajkumar Sugumaran's NPI number?

The NPI number for Rajkumar Sugumaran is 1184840506. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Rajkumar Sugumaran located?

Rajkumar Sugumaran practices at 9520 W Palm Ln Ste 150A, Phoenix, AZ 85037. The listed phone number is (602) 584-5444.

What is Rajkumar Sugumaran's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Rajkumar Sugumaran enrolled in Medicare?

Yes. Rajkumar Sugumaran 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 Rajkumar Sugumaran accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. and 1 other insurer list Rajkumar Sugumaran 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.

When was this NPI record last updated?

The NPPES record for Rajkumar Sugumaran was last updated on August 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.