DR. SUNIL KUMAR JEGANATHAN MD, DPM
NPI 1275988933
Podiatrist - Foot Surgery in Houston, TX

Active since May 02, 2016PECOS EnrolledAccepts Medicare Assignment
93.12/100
CMS Quality Rating
616 FM 1960 RD W STE 500, HOUSTON, TX 77090(281) 369-9166 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2026, Nov 4, 2024, Dec 12, 2023 and 1 more (4 updates tracked since 2020).

About Dr. Sunil Kumar Jeganathan Md, Dpm NPPES

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

DR. SUNIL KUMAR JEGANATHAN MD, DPM (NPI 1275988933) is an individual foot surgery provider in Houston, Texas, licensed in Texas (2385) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (2016).

NPPES Registry Identity

NPI1275988933
Entity TypeIndividualMale
Primary Taxonomy213ES0131X
Provider Legal NameDR. SUNIL KUMAR JEGANATHANCredential: MD, DPM
Location Address616 FM 1960 RD W STE 500Houston, TX 77090-3026
Mailing Address616 Fm 1960 Rd W Ste 500Houston, TX 77090-3026 · (281) 369-9166
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 2016
Enumeration DateMay 2, 2016
Last NPPES UpdateApril 7, 20264 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1275988933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in TX · 2385
Also ListedPodiatristTaxonomy 213E00000X · License 2385 (TX)
616 FM 1960 RD W STE 500, Houston, TX 77090

Accepted 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

Dr. Sunil Kumar Jeganathan Md, Dpm 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 ID648507517
PECOS Enrollment IDI20190815000582
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 Reassignments

4

Medicare enrollment records show Sunil Jeganathan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Podiatrist
616 FM 1960 RD W STE 500
Houston, TX 77090
  • Reassigned Medicare billing, Texas enrollment
Interventional Pain Medicine
3786 FM 1488 RD STE 160
Conroe, TX 77384
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group
Podiatrist
3143 HIGHWAY 6
Sugar Land, TX 77478
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
Podiatric
5337 W UNIVERSITY DR, SUITE 100
Mckinney, TX 75071
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group

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 16

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 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.
209 services125 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
115 services85 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.
100 services61 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
94 services44 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
69 services33 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
62 services44 patients

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.

93.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.5
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Podiatrist
616 FM 1960 RD W STE 500
HOUSTON, TX 77090

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 Sunil Jeganathan's NPI number?

The NPI number for Sunil Jeganathan is 1275988933. It was assigned to this individual provider in the NPPES registry on May 2, 2016.

Where is Sunil Jeganathan located?

Sunil Jeganathan practices at 616 Fm 1960 Rd W Ste 500, Houston, TX 77090. The listed phone number is (281) 369-9166.

What is Sunil Jeganathan's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Sunil Jeganathan enrolled in Medicare?

Yes. Sunil Jeganathan 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.

Which organizations bill Medicare for Sunil Jeganathan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunil Jeganathan reassigns Medicare benefits to 4 organizations: Stepwise Foot And Ankle Center PLLC (Houston, TX), St Jude Medical Consultants PLLC (Conroe, TX), Texas Foot And Ankle Associates PLLC (Sugar Land, TX) and Richard W. Swails, DPM, PC (Mckinney, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sunil Jeganathan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sunil Jeganathan accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Oscar Insurance Company and WellPoint list Sunil Jeganathan 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 Sunil Jeganathan was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.