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ARCHANA SUGUMAR M.D.
NPI 1275821571
Psychiatry & Neurology - Psychiatry in Peoria, AZ

Active since July 20, 2011PECOS EnrolledAccepts Medicare Assignment
96.89/100
CMS Quality Rating
9051 W KELTON LN, PEORIA, AZ 85382(623) 815-5700 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 23, 2017 (2 updates tracked since 2017).

About Archana Sugumar M.d. NPPES

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

ARCHANA SUGUMAR M.D. (NPI 1275821571) is an individual psychiatry provider in Peoria, Arizona, licensed in Arizona (51844) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Greenville, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1275821571
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameARCHANA SUGUMARCredential: M.D.
Location Address9051 W KELTON LNPeoria, AZ 85382-3533
Mailing Address2700 N Central AvePhoenix, AZ 85004-1133 · (602) 285-4367
Phone(623) 815-5700
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 20, 2011
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1275821571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in AZ · 51844
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 51844 (AZ)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9051 W KELTON LN, Peoria, AZ 85382
Open in Google Maps ↗

Secondary Practice Location 1

Location 12100 Stantonsburg RdGreenville, NC 27834-2818 · Phone (252) 744-1406 · Fax (252) 744-4243

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc., Oscar Health Plan, Inc., UnitedHealthcare.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

Archana Sugumar 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 ID2860782190
PECOS Enrollment IDI20170315001819
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 6

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 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.
306 services78 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.
226 services66 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
178 services58 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.
46 services44 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
39 services37 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
35 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85382 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
$168.60 typical visit price
range $55.44 – $168.60
Typical copayment $42.15 (range $13.86 – $42.15)
Most-billed visit code 99205
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.

96.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.99
Promoting Interoperability100
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES

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

SOUTHWEST NETWORK
Community/Behavioral Health
9051 W KELTON LN, SUITE 13
PEORIA, AZ 85382
Maricopa County (623) 815-5700

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 Archana Sugumar's NPI number?

The NPI number for Archana Sugumar is 1275821571. It was assigned to this individual provider in the NPPES registry on July 20, 2011.

Where is Archana Sugumar located?

Archana Sugumar practices at 9051 W Kelton Ln, Peoria, AZ 85382. The listed phone number is (623) 815-5700.

What is Archana Sugumar's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Archana Sugumar enrolled in Medicare?

Yes. Archana Sugumar 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 Archana Sugumar accept?

Health plans from Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare list Archana Sugumar 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 Archana Sugumar was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.