Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SURYA MANICKAM MD, SCM
NPI 1881222768
Pediatrics in San Francisco, CA

Q: What is Surya Manickam's NPI number?

The NPI number for Surya Manickam is 1881222768. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Q: What is Surya Manickam's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Surya Manickam was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.

Active since March 27, 2020PECOS Enrolled

350 RHODE ISLAND ST STE 200, SAN FRANCISCO, CA 94103(415) 600-6240 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Surya Manickam Md, Scm NPPES

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

SURYA MANICKAM MD, SCM (NPI 1881222768) is an individual pediatrics provider in San Francisco, California, licensed in California (A189009) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881222768

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameSURYA MANICKAMCredential: MD, SCM

Location Address350 RHODE ISLAND ST STE 200San Francisco, CA 94103-5188

Mailing Address350 Rhode Island St Ste 200San Francisco, CA 94103-5188 · (415) 600-6420

Phone(415) 600-6240

Sole ProprietorNo

Enumeration DateMarch 27, 2020

Last NPPES UpdateJuly 28, 2026

NPPES CertifiedJuly 28, 2026

✔ NPI 1881222768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A189009

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.

350 RHODE ISLAND ST STE 200, San Francisco, CA 94103

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Surya Manickam Md, Scm 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94103 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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 9

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

JENNA J GUTIERREZ FNP-BC

Nurse Practitioner (Family)