KRITHIKA SHANMUGASUNDARAM MD
NPI 1295199800
Internal Medicine - Hematology & Oncology in Charlottesville, VA

Active since April 09, 2016PECOS EnrolledAccepts Medicare Assignment
1240 LEE ST, CHARLOTTESVILLE, VA 22908(434) 924-9333(434) 244-7526 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2023, Aug 1, 2019, Jan 14, 2019 (3 updates tracked since 2019).

About Krithika Shanmugasundaram Md NPPES

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

KRITHIKA SHANMUGASUNDARAM MD (NPI 1295199800) is an individual hematology & oncology provider in Charlottesville, Virginia, licensed in Virginia (0101278994) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1295199800
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameKRITHIKA SHANMUGASUNDARAMCredential: MD
Location Address1240 LEE STCharlottesville, VA 22908-1059
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Fax(434) 244-7526
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2016
Enumeration DateApril 9, 2016
Last NPPES UpdateAugust 11, 20233 updates tracked since enumeration
NPPES CertifiedAugust 11, 2023
NPI 1295199800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in VA · 0101278994
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0101278994 (VA)
1240 LEE ST, Charlottesville, VA 22908

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-1059 · Phone (434) 924-9333 · Fax (434) 244-7526

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

Krithika Shanmugasundaram 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 ID9436441177
PECOS Enrollment IDI20230706001944
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 5

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.
121 services27 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.
58 services29 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.
35 services14 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services11 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.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22908 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 20

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

Internal Medicine (Gastroenterology)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Internal Medicine (Hematology)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Practitioner (Family)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Practitioner
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Practitioner (Acute Care)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Internal Medicine (Hematology & Oncology)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Internal Medicine (Hematology)
1240 LEE ST
CHARLOTTESVILLE, VA 22908
Obstetrics & Gynecology (Gynecologic Oncology)
1240 LEE ST
CHARLOTTESVILLE, VA 22908

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 Krithika Shanmugasundaram's NPI number?

The NPI number for Krithika Shanmugasundaram is 1295199800. It was assigned to this individual provider in the NPPES registry on April 9, 2016.

Where is Krithika Shanmugasundaram located?

Krithika Shanmugasundaram practices at 1240 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-9333.

What is Krithika Shanmugasundaram's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Krithika Shanmugasundaram enrolled in Medicare?

Yes. Krithika Shanmugasundaram 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.

Is Krithika Shanmugasundaram affiliated with any hospitals?

According to CMS data, Krithika Shanmugasundaram is affiliated with University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Krithika Shanmugasundaram was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.