SUMANGALY THAMBIAIYAH M.D.
NPI 1538424205
Internal Medicine in Buffalo, NY

Q: What is Sumangaly Thambiaiyah's NPI number?

The NPI number for Sumangaly Thambiaiyah is 1538424205. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Q: What is Sumangaly Thambiaiyah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since July 09, 2012PECOS EnrolledAccepts Medicare Assignment

ELM AND CARLTON ST, BUFFALO, NY 14263(716) 845-2300(716) 845-3549 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Sumangaly Thambiaiyah M.d. NPPES

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

SUMANGALY THAMBIAIYAH M.D. (NPI 1538424205) is an individual internal medicine provider in Buffalo, New York, licensed in New York (280078-01) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1538424205

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSUMANGALY THAMBIAIYAHCredential: M.D.

Location AddressELM AND CARLTON STBuffalo, NY 14263-0001

Mailing Address95 Hunters Ridge RdOrchard Park, NY 14127-1368 · (585) 764-0777

Phone(716) 845-2300

Fax(716) 845-3549

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJuly 9, 2012

Last NPPES UpdateFebruary 24, 2023

NPPES CertifiedFebruary 24, 2023

✔ NPI 1538424205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 280078-01

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

ELM AND CARLTON ST, Buffalo, NY 14263

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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

Sumangaly Thambiaiyah 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 ID8325348675

PECOS Enrollment IDI20210507001652

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

Medicare enrollment records show Sumangaly Thambiaiyah reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Roswell Park Cancer Institute

9.1 mi

Multi-Specialty

ELM AND CARLTON ST
Buffalo, NY 14263

Reassigned Medicare billing, New York enrollment
602 clinicians in this Medicare group

NPI 1720036593 (716) 845-2300

Infinity Medical Of Wny PC

17 mi

Hospitalist

1540 MAPLE RD
Williamsville, NY 14221

Reassigned Medicare billing, New York enrollment
104 clinicians in this Medicare group

NPI 1568883080 (716) 568-3600

Infinity Medical Group P.C.

19 mi

Internal Medicine

275 NORTHPOINTE PKWY, SUITE 50
Amherst, NY 14228

Reassigned Medicare billing, New York enrollment
106 clinicians in this Medicare group

NPI 1841648011 (716) 834-1191

General Physician, PC

30 mi

General Practice

3898 VINEYARD DR
Dunkirk, NY 14048

Reassigned Medicare billing, New York enrollment
572 clinicians in this Medicare group

NPI 1093959322 (716) 692-3302

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

206 services94 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.

99 services56 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

83 services83 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.

33 services33 patients

Hospital Affiliations CMS Care Compare

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330005

Location100 High StreetBuffalo, NY 14210 · Erie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14263 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

MICHELLE DOYLE MCCARTHY PA

Physician Assistant