DR. BIBIANA MARY SUSAIMANICKAM MD
NPI 1528313533
Psychiatry & Neurology - Psychiatry in Bronx, NY

Active since July 16, 2012PECOS EnrolledAccepts Medicare Assignment
1276 FULTON AVE, BRONX, NY 10456(718) 992-7669 Get Directions Write a Review

NPPES record last updated: August 16, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Bibiana Mary Susaimanickam Md NPPES

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

DR. BIBIANA MARY SUSAIMANICKAM MD (NPI 1528313533) is an individual psychiatry provider in Bronx, New York, licensed in New York (293022) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1528313533
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. BIBIANA MARY SUSAIMANICKAMCredential: MD
Location Address1276 FULTON AVEBronx, NY 10456-3402
Mailing Address1276 Fulton AveBronx, NY 10456-3402 · (718) 992-7669
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 16, 2012
Last NPPES UpdateAugust 16, 2019
✔ NPI 1528313533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 293022
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1276 FULTON AVE, Bronx, NY 10456

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. Bibiana Mary Susaimanickam 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 ID7214270735
PECOS Enrollment IDI20240904004326
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

2

Medicare enrollment records show Bibiana Mary Susaimanickam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
1276 FULTON AVE
Bronx, NY 10456
  • Reassigned Medicare billing, New York enrollment
  • 795 clinicians in this Medicare group
Community/Behavioral Health
9015 MURRAY AVE, SUITE 100
Gilroy, CA 95020
  • Reassigned Medicare billing, California enrollment
  • 21 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10456 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Social Worker (Clinical)
1276 FULTON AVE
BRONX, NY 10456
Psychiatry & Neurology (Addiction Psychiatry)
1276 FULTON AVE
BRONX, NY 10456
Physician Assistant (Medical)
1276 FULTON AVE, PSYCHIATRY - MMTP
BRONX, NY 10456
Social Worker (Clinical)
1276 FULTON AVE
BRONX, NY 10456
Psychiatry & Neurology (Psychiatry)
1276 FULTON AVE
BRONX, NY 10456
Social Worker
1276 FULTON AVE
BRONX, NY 10456
Psychiatry & Neurology (Psychiatry)
1276 FULTON AVE
BRONX, NY 10456
Clinic/Center (Mental Health (Including Community Mental Health Center))
1276 FULTON AVE
BRONX, NY 10456

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 Bibiana Mary Susaimanickam's NPI number?

The NPI number for Bibiana Mary Susaimanickam is 1528313533. It was assigned to this individual provider in the NPPES registry on July 16, 2012.

Where is Bibiana Mary Susaimanickam located?

Bibiana Mary Susaimanickam practices at 1276 Fulton Ave, Bronx, NY 10456. The listed phone number is (718) 992-7669.

What is Bibiana Mary Susaimanickam's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Bibiana Mary Susaimanickam enrolled in Medicare?

Yes. Bibiana Mary Susaimanickam 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 Bibiana Mary Susaimanickam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bibiana Mary Susaimanickam reassigns Medicare benefits to 2 organizations: Bronxcare Health System (Bronx, NY) and Community Solutions For Children, Families, And Individuals (Gilroy, CA). 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 Bibiana Mary Susaimanickam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bibiana Mary Susaimanickam was last updated on August 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.