1. Home
  2. Directory
  3. Maryland
  4. Crownsville
  5. Pediatrics
  6. NPI Profile

RAJ MANICKAM MD
NPI 1649200965
Pediatrics in Crownsville, MD

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
1350 SWEET PEA PATH, CROWNSVILLE, MD 21032(410) 987-7375 Get Directions Write a Review

NPPES record last updated: March 18, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Raj Manickam Md NPPES

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

RAJ MANICKAM MD (NPI 1649200965) is an individual pediatrics provider in Crownsville, Maryland, licensed in Maryland (D0018398) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1970).

NPPES Registry Identity

NPI1649200965
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameRAJ MANICKAMCredential: MD
Location Address1350 SWEET PEA PATHCrownsville, MD 21032-2020
Mailing Address1350 Sweet Pea PathCrownsville, MD 21032-2020 · (410) 987-7375
Phone(410) 987-7375
Sole ProprietorNo
Medical School CMSOtherGraduated 1970
Enumeration DateJuly 3, 2006
Last NPPES UpdateMarch 18, 2013
✔ NPI 1649200965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MD · D0018398
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1350 SWEET PEA PATH, Crownsville, MD 21032
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINB70767
Medicare ID-Type Unspecified010645MD
Medicaid960281000MD

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

Raj Manickam 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 ID6709832215
PECOS Enrollment IDI20050329000092
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 Reassignment

Medicare enrollment records show Raj Manickam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urgent Care Medicine, LLC
6.3 mi
Urgent Care
3059 SOLOMONS ISLAND RD, SUITE F-2
Edgewater, MD 21037
  • Reassigned Medicare billing, Maryland enrollment
  • 9 clinicians in this Medicare group
NPI 1174804918 (443) 286-3533

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 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.

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.
68 services64 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
32 services16 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
28 services28 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.
23 services23 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21032 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

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 Raj Manickam's NPI number?

The NPI number for Raj Manickam is 1649200965. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Raj Manickam located?

Raj Manickam practices at 1350 Sweet Pea Path, Crownsville, MD 21032. The listed phone number is (410) 987-7375.

What is Raj Manickam's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Raj Manickam enrolled in Medicare?

Yes. Raj Manickam 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 organization bills Medicare for Raj Manickam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raj Manickam reassigns Medicare benefits to Urgent Care Medicine, LLC (Edgewater, MD). The 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 Raj Manickam'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 Raj Manickam was last updated on March 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.