KANDAMURUGU MANICKAM MD
NPI 1972712743
Medical Genetics - Clinical Genetics (M.D.) in Columbus, OH

Active since May 21, 2007PECOS Enrolled
700 CHILDRENS DR, COLUMBUS, OH 43205(614) 722-3538(614) 722-3546 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 19, 2024, Mar 11, 2022, Feb 21, 2022 and 4 more (7 updates tracked since 2016).

About Kandamurugu Manickam Md NPPES

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

KANDAMURUGU MANICKAM MD (NPI 1972712743) is an individual clinical genetics (m.d.) provider in Columbus, Ohio, licensed in Ohio (35-092399) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and maintains 13 additional practice locations.

NPPES Registry Identity

NPI1972712743
Entity TypeIndividualMale
Primary Taxonomy207SG0201X
Provider Legal NameKANDAMURUGU MANICKAMCredential: MD
Location Address700 CHILDRENS DRColumbus, OH 43205-2664
Mailing Address700 Childrens DrColumbus, OH 43205-2664 · (614) 722-2000
Fax(614) 722-3546
Sole ProprietorYes
Enumeration DateMay 21, 2007
Last NPPES UpdateJune 15, 20267 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
✔ NPI 1972712743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
License✔ Licensed in OH · 35-092399
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
700 CHILDRENS DR, Columbus, OH 43205

Secondary Practice Locations 13

Location 12222 Cherry St Ste 2600Toledo, OH 43608-2675 · Phone (419) 251-8015
Location 226 Hospital DrAthens, OH 45701-2471 · Phone (614) 722-2000
Location 3555 S 18th StColumbus, OH 43205-2654 · Phone (614) 722-6200
Location 4500 S Cleveland AveWesterville, OH 43081-8971 · Phone (614) 722-2000
Location 57901 Diley RdCanal Winchester, OH 43110-9612 · Phone (614) 722-2000
Location 6730 W Market StLima, OH 45801-4602 · Phone (614) 722-6200
Location 7278 W Union StAthens, OH 45701-2310 · Phone (614) 722-6200
Location 85665 Venture DrDublin, OH 43017-2159 · Phone (614) 722-6200
Location 9410 W 10th AveColumbus, OH 43210-1240 · Phone (614) 722-2000
Location 10455 Executive Campus DrWesterville, OH 43082-8870 · Phone (614) 722-2000
Location 11380 Butterfly Gardens DrColumbus, OH 43215-7508 · Phone (614) 722-2000
Location 122213 Cherry StToledo, OH 43608-2603 · Phone (419) 251-8015
Location 13740 Adair AveZanesville, OH 43701-2838 · Phone (614) 722-2000

Other Identifiers 2

Medicaid2875143OH
Other4250173OH · Cgs - Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kandamurugu Manickam Md 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.

Medicare Billing Reassignments

6

Medicare enrollment records show Kandamurugu Manickam reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 976 clinicians in this Medicare group
Pediatrics
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 1,246 clinicians in this Medicare group
Developmental Disabilities
1581 DODD DR
Columbus, OH 43210
  • Reassigned Medicare billing, Ohio enrollment
  • 11 clinicians in this Medicare group
Surgery
2200 JEFFERSON AVE
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 690 clinicians in this Medicare group
Family Medicine
2200 JEFFERSON AVE
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 457 clinicians in this Medicare group
Pediatrics
2213 CHERRY ST
Toledo, OH 43608
  • Reassigned Medicare billing, Ohio enrollment
  • 233 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
700 CHILDRENS DR
COLUMBUS, OH 43205
Pediatrics
700 CHILDRENS DR
COLUMBUS, OH 43205
Surgery
700 CHILDRENS DR, CCPR
COLUMBUS, OH 43205
Pediatrics (Pediatric Emergency Medicine)
700 CHILDRENS DR
COLUMBUS, OH 43205
Pharmacist
700 CHILDRENS DR
COLUMBUS, OH 43205
Pediatrics (Pediatric Emergency Medicine)
700 CHILDRENS DR
COLUMBUS, OH 43205
Pharmacist
700 CHILDRENS DR
COLUMBUS, OH 43205
Nurse Practitioner (Pediatrics)
700 CHILDRENS DR
COLUMBUS, OH 43205

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 Kandamurugu Manickam's NPI number?

The NPI number for Kandamurugu Manickam is 1972712743. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Kandamurugu Manickam located?

Kandamurugu Manickam practices at 700 Childrens Dr, Columbus, OH 43205. The listed phone number is (614) 722-3538.

What is Kandamurugu Manickam's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Is Kandamurugu Manickam enrolled in Medicare?

Yes. Kandamurugu Manickam is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kandamurugu Manickam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kandamurugu Manickam reassigns Medicare benefits to 6 organizations: Nationwide Children's Hospital (Columbus, OH), Pediatric Academic Association, Inc. (Columbus, OH), Osu Nisonger Center (Columbus, OH), Mercy Health Physicians North Specialty Care LLC (Toledo, OH), Mercy Health Physicians-North LLC (Toledo, OH) and 1 more organization, listed in the Medicare section above. Each 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 Kandamurugu Manickam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kandamurugu Manickam accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare list Kandamurugu Manickam 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.

When was this NPI record last updated?

The NPPES record for Kandamurugu Manickam was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.