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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.

SUNDER SHYAM GIDUMAL MD
NPI 1285262253
Otolaryngology in Beverly Hills, CA

Active since March 27, 2020PECOS Enrolled
450 N ROXBURY DR STE 450, BEVERLY HILLS, CA 90210(310) 206-6688 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 18, 2026, Jul 1, 2025, Mar 27, 2020 (3 updates tracked since 2020).

About Sunder Shyam Gidumal Md NPPES

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

SUNDER SHYAM GIDUMAL MD (NPI 1285262253) is an individual otolaryngology provider in Beverly Hills, California, licensed in California (A202526) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (2020).

NPPES Registry Identity

NPI1285262253
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameSUNDER SHYAM GIDUMALCredential: MD
Location Address450 N ROXBURY DR STE 450Beverly Hills, CA 90210-4231
Mailing Address450 N Roxbury Dr Ste 450Beverly Hills, CA 90210-4231
Phone(310) 206-6688
Sole ProprietorYes
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2020
Enumeration DateMarch 27, 2020
Last NPPES UpdateAugust 18, 20263 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1285262253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in CA · A202526
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Otolaryngology/Facial Plastic SurgeryTaxonomy 207YX0905X · License 724578891 (NY)
450 N ROXBURY DR STE 450, Beverly Hills, CA 90210
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sunder Shyam Gidumal Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214447564
PECOS Enrollment IDI20250606001339
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90210 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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.

DR. NOAH BENJAMIN SANDS M.D
Otolaryngology
450 N ROXBURY DR STE 450
BEVERLY HILLS, CA 90210
Los Angeles County (917) 617-3993
DAVID MOK
Plastic Surgery
450 N ROXBURY DR STE 450
BEVERLY HILLS, CA 90210
Los Angeles County (310) 361-1105

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 Sunder Gidumal's NPI number?

The NPI number for Sunder Gidumal is 1285262253. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Sunder Gidumal located?

Sunder Gidumal practices at 450 N Roxbury Dr Ste 450, Beverly Hills, CA 90210. The listed phone number is (310) 206-6688.

What is Sunder Gidumal's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Sunder Gidumal enrolled in Medicare?

Yes. Sunder Gidumal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sunder Gidumal was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.