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SUNDER SHYAM GIDUMAL MD
NPI 1285262253
Otolaryngology in Los Angeles, CA

Active since March 27, 2020PECOS EnrolledAccepts Medicare Assignment
200 UCLA MEDICAL PLZ STE 550, LOS ANGELES, CA 90095(310) 206-6688 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2025, Mar 27, 2020 (2 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 Los Angeles, 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 Address200 UCLA MEDICAL PLZ STE 550Los Angeles, CA 90095-6508
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 206-6688
Sole ProprietorYes
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2020
Enumeration DateMarch 27, 2020
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ 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)
200 UCLA MEDICAL PLZ STE 550, Los Angeles, CA 90095
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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 and accepts Medicare assignment

Sunder Shyam Gidumal 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 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 90095 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 20

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

ALISA ZHUKHOVITSKAYA
Otolaryngology
200 UCLA MEDICAL PLZ STE 550
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6688
KEVIN TIMOTHY GRAFMILLER
Otolaryngology
200 UCLA MEDICAL PLZ STE 550
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6688
ALISHA WEST M.D.
Otolaryngology (Pediatric Otolaryngology)
200 UCLA MEDICAL PLZ STE 550
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6688
EMILY EHSAN MD
Otolaryngology
200 UCLA MEDICAL PLZ STE 550
LOS ANGELES, CA 90095
Los Angeles County (424) 467-7695
MIGUEL RODRIGO CRUZ ESTRERA AGACNP-BC
Nurse Practitioner
200 UCLA MEDICAL PLZ STE 550
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6688
DANIEL CHENDANA SUKATO
Otolaryngology (Facial Plastic Surgery)
200 UCLA MEDICAL PLZ STE 550
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6688
DR. JOSHUA DAVID FEINTUCH MD
Otolaryngology
200 UCLA MEDICAL PLZ STE 550
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6688
ROBERT SUK KANG
Otolaryngology
200 UCLA MEDICAL PLZ STE 550
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6688

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 200 Ucla Medical Plz Ste 550, Los Angeles, CA 90095. 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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sunder Gidumal was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.