SUGANYA MANIVANNAN MD
NPI 1215255179
Internal Medicine in Longview, TX

Q: What is Suganya Manivannan's NPI number?

The NPI number for Suganya Manivannan is 1215255179. It was assigned to this individual provider in the NPPES registry on May 17, 2010.

Q: What is Suganya Manivannan's specialty?

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

Active since May 17, 2010PECOS EnrolledAccepts Medicare Assignment

703 E MARSHALL AVE STE 5008, LONGVIEW, TX 75601(903) 315-5555 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2026, May 8, 2023, Apr 30, 2018 (3 updates tracked since 2018).

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About Suganya Manivannan Md NPPES

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

SUGANYA MANIVANNAN MD (NPI 1215255179) is an individual internal medicine provider in Longview, Texas, licensed in Texas (U3935) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Christus Good Shepherd Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1215255179

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSUGANYA MANIVANNANCredential: MD

Location Address703 E MARSHALL AVE STE 5008Longview, TX 75601-5557

Mailing Address230 Lexington Green Cir Ste 600Lexington, KY 40503-3326 · (859) 971-4695 · Fax (859) 971-4604

Phone(903) 315-5555

Sole ProprietorNo

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2010

Enumeration DateMay 17, 2010

Last NPPES UpdateAugust 11, 20263 updates tracked since enumeration

NPPES CertifiedAugust 11, 2026

✔ NPI 1215255179 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 TX · U3935

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 · Infectious DiseaseTaxonomy 207RI0200X · License U3935 (TX)

703 E MARSHALL AVE STE 5008, Longview, TX 75601

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Secondary Practice Locations 4

Location 1600 Mary StreetEvansville, IN 47747-0001 · Phone (812) 450-7338 · Fax (812) 450-2193

Location 2700 e marshalllongview, TX 75601-0001 · Phone (903) 315-2000

Location 3703 E Marshall Ave Ste 3000Longview, TX 75601-5500 · Phone (903) 315-5555

Location 42101 W Loop 281 Ste ALongview, TX 75604-2506 · Phone (903) 315-2400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CareSource, CHRISTUS Health Plan.Insurance ›

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

Suganya Manivannan 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 ID9032423074

PECOS Enrollment IDI20230512002161

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 Suganya Manivannan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Christus Trinity Clinic Texas

35 mi

Family Medicine

520 DOUGLAS BLVD
Tyler, TX 75702

Reassigned Medicare billing, Texas enrollment
2,745 clinicians in this Medicare group

NPI 1285684225 (903) 315-4119

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

Areas of Expertise CMS Part B claims 7

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 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.

416 services181 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

279 services153 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

221 services199 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

42 services23 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

32 services28 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Christus Good Shepherd Medical Center

Acute Care Hospitals · Longview, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450032

Location700 E Marshall AveLongview, TX 75601 · Gregg County

Emergency services Birthing friendly

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450102

Location800 East DawsonTyler, TX 75701 · Smith County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75601 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 $54.84 – $166.88

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

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 10

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

DR. STANISLAV WEINER MD

Internal Medicine (Clinical Cardiac Electrophysiology)