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ARVIND MANISUNDARAM
NPI 1801282132
Surgery - Plastic and Reconstructive Surgery in Southlake, TX

Active since April 14, 2015PECOS Enrolled
415 E SOUTHLAKE BLVD STE 101, SOUTHLAKE, TX 76092(817) 416-8080(817) 421-8327 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2025, Apr 29, 2021 (2 updates tracked since 2021).

About Arvind Manisundaram NPPES

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

ARVIND MANISUNDARAM (NPI 1801282132) is an individual plastic and reconstructive surgery provider in Southlake, Texas, licensed in Texas (U9593) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Ridgeland.

NPPES Registry Identity

NPI1801282132
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameARVIND MANISUNDARAM
Location Address415 E SOUTHLAKE BLVD STE 101Southlake, TX 76092-6279
Mailing Address415 E Southlake Blvd Ste 101Southlake, TX 76092-6279 · (817) 416-8080 · Fax (817) 421-8327
Phone(817) 416-8080
Fax(817) 421-8327
Sole ProprietorNo
Enumeration DateApril 14, 2015
Last NPPES UpdateJuly 8, 20252 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1801282132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in TX · U9593
Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
415 E SOUTHLAKE BLVD STE 101, Southlake, TX 76092
Open in Google Maps ↗

Secondary Practice Location 1

Location 1106 Bridgeview CirRidgeland, MS 39157-8601 · Phone (601) 506-7113

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Arvind Manisundaram is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 5

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

DR. CASEY L ANDERSON M.D.
Student in an Organized Health Care Education/Training Program
415 E SOUTHLAKE BLVD STE 101
SOUTHLAKE, TX 76092
Tarrant County (817) 416-8080
DR. JACOB CARLSON MD
Surgery
415 E SOUTHLAKE BLVD STE 101
SOUTHLAKE, TX 76092
Tarrant County (817) 416-8080
DR. GRANT ALEXANDER BOND M.D.
Surgery (Plastic and Reconstructive Surgery)
415 E SOUTHLAKE BLVD STE 101
SOUTHLAKE, TX 76092
Tarrant County (817) 416-8080
BROOKS BRENDEN KELLY MD
Surgery (Plastic and Reconstructive Surgery)
415 E SOUTHLAKE BLVD STE 101
SOUTHLAKE, TX 76092
Tarrant County (817) 809-3155
TAYLOR ANN CHISHOM MD MPH
Plastic Surgery
415 E SOUTHLAKE BLVD STE 101
SOUTHLAKE, TX 76092
Tarrant County (972) 636-4902

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 Arvind Manisundaram's NPI number?

The NPI number for Arvind Manisundaram is 1801282132. It was assigned to this individual provider in the NPPES registry on April 14, 2015.

Where is Arvind Manisundaram located?

Arvind Manisundaram practices at 415 E Southlake Blvd Ste 101, Southlake, TX 76092. The listed phone number is (817) 416-8080.

What is Arvind Manisundaram's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Arvind Manisundaram enrolled in Medicare?

Yes. Arvind Manisundaram is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Arvind Manisundaram was last updated on July 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.