MRS. SUCHARITHA SHANMUGAM M.D.
NPI 1295941425
Internal Medicine - Rheumatology in Phoenixville, PA

Q: What is Sucharitha Shanmugam's NPI number?

The NPI number for Sucharitha Shanmugam is 1295941425. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Q: What is Sucharitha Shanmugam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Active since May 15, 2007PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

824 MAIN ST STE 100, PHOENIXVILLE, PA 19460(610) 933-8000(610) 917-0320 Get Directions Write a Review

NPPES record last updated: August 26, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Sucharitha Shanmugam M.d. NPPES

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

MRS. SUCHARITHA SHANMUGAM M.D. (NPI 1295941425) is an individual rheumatology provider in Phoenixville, Pennsylvania, licensed in Pennsylvania (MD426764) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1295941425

Entity TypeIndividualFemale

Primary Taxonomy207RR0500X

Provider Legal NameMRS. SUCHARITHA SHANMUGAMCredential: M.D.

Location Address824 MAIN ST STE 100Phoenixville, PA 19460-4478

Mailing AddressPo Box 525Phoenixville, PA 19460-0525 · (610) 933-8000

Phone(610) 933-8000

Fax(610) 917-0320

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateMay 15, 2007

Last NPPES UpdateAugust 26, 2008

✔ NPI 1295941425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in PA · MD426764

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT178938 (PA)

824 MAIN ST STE 100, Phoenixville, PA 19460

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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

Mrs. Sucharitha Shanmugam 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 ID8224054226

PECOS Enrollment IDI20051019000614

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 18

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.

Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717

Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.

184,801 services67 patients

Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129

Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.

27,250 services46 patients

Injection, romosozumab-aqqg, 1 mg J3111

Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.

26,460 services25 patients

Injection, golimumab, 1 mg, for intravenous use J1602

Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.

18,190 services24 patients

Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401

This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.

1,189 services92 patients

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

1,140 services16 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.

707 services408 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

547 services99 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

409 services409 patients

Injection, zoledronic acid, 1 mg J3489

Zoledronic acid is a medication given via injection to strengthen bones. It's often used in patients with osteoporosis or certain types of cancer. The injection helps reduce the risk of fractures and other bone complications.

405 services81 patients

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.

184 services166 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

82 services82 patients

Administration of chemotherapy into vein, each additional hour 96415

Chemotherapy is a treatment method that uses drugs to destroy cancer cells. The drugs are administered into a vein, usually in the arm. Each additional hour of chemotherapy allows for more of the medication to enter your bloodstream to fight against the cancer cells.

59 services15 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.

56 services17 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

48 services33 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

38 services21 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

16 services13 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

16 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390100

Location555 North Duke StreetLancaster, PA 17602 · Lancaster County

Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390139

Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County

Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390153

Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County

Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390179

Location701 East Marshall StreetWest Chester, PA 19380 · Chester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19460 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Other Providers at the Same Location NPPES 3

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

BRYAN WAI YONG TANG PA-C

Physician Assistant

824 MAIN ST STE 100
PHOENIXVILLE, PA 19460

Chester County (610) 935-7300

JUSTIN LANNAN NP-BC

Nurse Practitioner

824 MAIN ST STE 100
PHOENIXVILLE, PA 19460

Chester County (610) 935-7300

BENJAMIN CHAN D.O.

Family Medicine

824 MAIN ST STE 100
PHOENIXVILLE, PA 19460

Chester County (610) 935-7300

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 Sucharitha Shanmugam's NPI number?

The NPI number for Sucharitha Shanmugam is 1295941425. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Sucharitha Shanmugam located?

Sucharitha Shanmugam practices at 824 Main St Ste 100, Phoenixville, PA 19460. The listed phone number is (610) 933-8000.

What is Sucharitha Shanmugam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Sucharitha Shanmugam enrolled in Medicare?

Yes. Sucharitha Shanmugam 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 Sucharitha Shanmugam affiliated with any hospitals?

According to CMS data, Sucharitha Shanmugam is affiliated with Lancaster General Hospital, Hospital Of Univ Of Pennsylvania, Bryn Mawr Hospital, Paoli Hospital and Chester County Hospital.

When was this NPI record last updated?

The NPPES record for Sucharitha Shanmugam was last updated on August 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.