DR. MANIKANDAN SUGUMARAN M.D.
NPI 1932356367
Otolaryngology in Phoenix, AZ

Q: What is Manikandan Sugumaran's NPI number?

The NPI number for Manikandan Sugumaran is 1932356367. It was assigned to this individual provider in the NPPES registry on August 27, 2008.

Q: What is Manikandan Sugumaran's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Active since August 27, 2008PECOS EnrolledAccepts Medicare Assignment

85.66/100

CMS Quality Rating

4530 E SHEA BLVD STE 180, PHOENIX, AZ 85028(602) 264-4834(602) 254-5178 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Manikandan Sugumaran M.d. NPPES

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

DR. MANIKANDAN SUGUMARAN M.D. (NPI 1932356367) is an individual otolaryngology provider in Phoenix, Arizona, licensed in Arizona (46359) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and is a graduate of Northeastern Ohio University College Of Medicine (2008).

NPPES Registry Identity

NPI1932356367

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameDR. MANIKANDAN SUGUMARANCredential: M.D.

Location Address4530 E SHEA BLVD STE 180Phoenix, AZ 85028-6042

Mailing Address4530 E Shea Blvd Ste 180Phoenix, AZ 85028-6042 · (602) 264-4834 · Fax (602) 257-8319

Phone(602) 264-4834

Fax(602) 254-5178

Sole ProprietorYes

Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2008

Enumeration DateAugust 27, 2008

Last NPPES UpdateMarch 23, 2023

NPPES CertifiedMarch 23, 2023

✔ NPI 1932356367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in AZ · 46359

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

4530 E SHEA BLVD STE 180, Phoenix, AZ 85028

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Other Identifiers 1

Medicaid709451AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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

Dr. Manikandan Sugumaran 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 ID1052561446

PECOS Enrollment IDI20121019000536

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 19

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.

Injection, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

9,173 services53 patients

Exam to assess movement of vocal cord flaps using an endoscope 31579

This procedure involves using a thin, flexible tube called an endoscope to view your vocal cords. The endoscope is gently inserted through your nose or mouth to observe the movement of your vocal cords. This helps identify any abnormalities or issues.

250 services183 patients

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.

211 services155 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

199 services121 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

173 services137 patients

Injection of chemical for paralysis of nerve muscles on side of voice box 64617

This procedure involves injecting a chemical into the nerve muscles on one side of your voice box. The chemical temporarily paralyzes these muscles, helping to manage conditions that affect voice and swallowing. It's a safe, often temporary measure to improve your quality of life.

133 services54 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.

113 services113 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

62 services18 patients

Injection into vocal cords using an endoscope with operating microscope or telescope 31571

This procedure involves using a thin, flexible tube called an endoscope along with a special microscope or telescope. The endoscope is carefully inserted into your throat to reach your vocal cords. Then, a precise injection is made into the vocal cords to treat various conditions.

38 services28 patients

Diagnostic exam of lung airway using an endoscope 31622

This procedure involves a doctor inserting a thin, flexible tube called an endoscope into your lung airway. It allows the doctor to view the airway and diagnose any issues. The process is safe and helps in accurate diagnosis.

37 services21 patients

Removal of growth of tongue and/or stripping of vocal cord using an endoscope with operating microscope or telescope 31541

This procedure involves using a small, flexible tube with a camera (endoscope) to view and remove a growth on the tongue or strip the vocal cords. An operating microscope or telescope may be used to enhance visibility. It's a safe, effective way to treat these conditions.

35 services25 patients

Injection of drug into side of voice box using an endoscope 31573

This procedure involves the use of a thin tube called an endoscope to deliver medication directly into the side of your voice box. This method allows for precise placement of the drug, helping to address specific issues with your voice or throat.

29 services11 patients

Diagnostic exam of voice box using an endoscope 31525

This procedure involves the use of a thin, flexible instrument called an endoscope to examine the voice box. The endoscope is gently inserted through the nose or mouth to provide a clear view of the voice box. It helps in diagnosing issues related to speech, breathing, or swallowing.

28 services19 patients

Dilation of windpipe cartilage or treatment of broken windpipe cartilage using an endoscope 31630

This procedure uses an endoscope, a small tube with a camera, to view and treat issues with the windpipe cartilage. It can be used to expand narrowed areas or repair broken cartilage, helping restore normal breathing.

22 services13 patients

Injection of substance to augment voice box using an endoscope 31574

This procedure involves using a thin, flexible tool called an endoscope to inject a substance into your voice box, or larynx. The substance helps to enhance the function of the voice box, improving your ability to speak. It's a safe, common procedure to help with voice issues.

20 services17 patients

Repair of side of voice box by moving vocal cord to middle 31591

This procedure involves adjusting your vocal cord to improve voice quality. The surgeon moves the cord towards the middle of your voice box, helping it connect better with the opposite cord. This can enhance your voice and help with any difficulties you may have been experiencing.

18 services18 patients

Removal of vocal cord growths and reconstruction with local tissue flap using an endoscope with operating microscope or telescope 31545

This procedure involves the careful removal of growths on your vocal cords using an endoscope, a small tube with a light and camera. An operating microscope or telescope enhances visibility. After removal, the area is reconstructed using a flap of local tissue.

17 services16 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

16 services16 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85028 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

85.66/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

71.32

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

12%346 patients1/55-star benchmark: 93%

Cervical Cancer Screening

15%319 patients1/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

49%208 patients3/55-star benchmark: 87%

Controlling High Blood Pressure

62%21 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

4%24 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%24 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

97%1,947 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

14%659 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

25%1,252 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

1%1,275 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

26%1,828 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 633 patients

0%633 patients

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

62%45 patients2/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 680 patients

Patients totalRate: 0% · 680 patients

0%680 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tracheostomy, inner cannula A4623

DME-Orthotic Devices · category DF000N

1 supplier14 claims540 services$5.38 avg. paid by Medicare

Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each A7507

DME-Orthotic Devices · category DF000N

2 suppliers14 claims1,080 services$2.40 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

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