MR. SUNEEL KUMAR PIGILAM
NPI 1760014500
Physician Assistant in Kalamazoo, MI

Active since February 10, 2020PECOS EnrolledAccepts Medicare Assignment
74.17/100
CMS Quality Rating
1722 SHAFFER ST, KALAMAZOO, MI 49048(269) 381-3963 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 16, 2021, Feb 10, 2020 (2 updates tracked since 2020).

About Mr. Suneel Kumar Pigilam NPPES

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

MR. SUNEEL KUMAR PIGILAM (NPI 1760014500) is an individual physician assistant in Kalamazoo, Michigan, licensed in Michigan (5601010265) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, is affiliated with Borgess Medical Center, and maintains a secondary practice location in Mount Pleasant.

NPPES Registry Identity

NPI1760014500
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. SUNEEL KUMAR PIGILAM
Location Address1722 SHAFFER STKalamazoo, MI 49048-1633
Mailing Address1722 Shaffer StKalamazoo, MI 49048-1633
Sole ProprietorYes
Medical School CMSCentral Michigan College Of MedicineGraduated 2020
Enumeration DateFebruary 10, 2020
Last NPPES UpdateFebruary 16, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2021
NPI 1760014500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601010265
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1722 SHAFFER ST, Kalamazoo, MI 49048

Secondary Practice Location 1

Location 11280 E Campus DrMount Pleasant, MI 48858-3803 · Phone (517) 488-3239

Accepted Insurance

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

Mr. Suneel Kumar Pigilam 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 ID4486069283
PECOS Enrollment IDI20210208002568
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 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.

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.
149 services100 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.
16 services16 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.
15 services15 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Borgess Medical Center

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230117
Location1521 Gull RoadKalamazoo, MI 49048 · Kalamazoo County
Emergency services Birthing friendly

Oaklawn Hospital

Acute Care Hospitals · Marshall, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230217
Location200 N MadisonMarshall, MI 49068 · Calhoun County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49048 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

74.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.9
Improvement Activities40
Cost69.08

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.

Psychologist
1722 SHAFFER ST
KALAMAZOO, MI 49048
Internal Medicine (Cardiovascular Disease)
1722 SHAFFER ST, SUITE 1
KALAMAZOO, MI 49048
Internal Medicine (Cardiovascular Disease)
1722 SHAFFER ST
KALAMAZOO, MI 49048
Psychiatry & Neurology (Psychiatry)
1722 SHAFFER ST, SUITE #3
KALAMAZOO, MI 49048
Internal Medicine (Cardiovascular Disease)
1722 SHAFFER ST, SUITE 1
KALAMAZOO, MI 49048
Psychiatry & Neurology (Psychiatry)
1722 SHAFFER ST, STE 3
KALAMAZOO, MI 49048
Marriage & Family Therapist
1722 SHAFFER ST
KALAMAZOO, MI 49048
Internal Medicine (Interventional Cardiology)
1722 SHAFFER ST, SUITE 1
KALAMAZOO, MI 49048

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 Suneel Pigilam's NPI number?

The NPI number for Suneel Pigilam is 1760014500. It was assigned to this individual provider in the NPPES registry on February 10, 2020.

Where is Suneel Pigilam located?

Suneel Pigilam practices at 1722 Shaffer St, Kalamazoo, MI 49048. The listed phone number is (269) 381-3963.

What is Suneel Pigilam's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Suneel Pigilam enrolled in Medicare?

Yes. Suneel Pigilam 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.

What insurance does Suneel Pigilam accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Suneel Pigilam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Suneel Pigilam affiliated with any hospitals?

According to CMS data, Suneel Pigilam is affiliated with Borgess Medical Center and Oaklawn Hospital.

When was this NPI record last updated?

The NPPES record for Suneel Pigilam was last updated on February 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.