Sucharitha Shanmugam, M.D.
NPI 1295941425 · Rheumatology Physician · Phoenixville, PA
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sucharitha Shanmugam, M.D. is a Rheumatology Physician provider in Phoenixville, PA (NPI 1295941425).
Provider details
- NPI number
- 1295941425
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MT178938 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
4,021 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Non-Hormonal Anti-Neoplastic Chemotherapy Under Skin Or Into Muscle96401 | 1,189 | $74 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 726 | $17 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 707 | $132 |
| Administration of Chemotherapy Into Vein, 1 Hour Or Less96413 | 547 | $134 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 409 | $173 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 20 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 289 | 117 |
| Methotrexate Sodiumbrand: Methotrexate | 204 | 92 |
| Hydroxychloroquine Sulfate | 103 | 53 |
| Alendronate Sodium | 83 | 33 |
| Allopurinol | 62 | 23 |
| Celecoxib | 60 | 29 |
| Etanerceptbrand: Enbrel Sureclick | 42 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$5,089 across 107 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-15
- Last updated
- 2008-08-26
Frequently asked questions
- What is Sucharitha Shanmugam's NPI number?
- Sucharitha Shanmugam's National Provider Identifier (NPI) is 1295941425, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sucharitha Shanmugam's specialty?
- Sucharitha Shanmugam is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Sucharitha Shanmugam located?
- Sucharitha Shanmugam's practice location on file with NPPES is 824 Main St Ste 100, Phoenixville, PA 19460-4478.
- What is Sucharitha Shanmugam's phone number?
- The practice phone number listed in the NPPES registry for Sucharitha Shanmugam is (610) 933-8000.
- Does Sucharitha Shanmugam accept Medicare?
- Sucharitha Shanmugam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sucharitha Shanmugam's NPI active?
- Yes — Sucharitha Shanmugam's NPI (1295941425) is active in the NPPES registry as of the last update on 2008-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.