NPPES file of Aug 9, 2026

Sucharitha Shanmugam, M.D.

Rheumatology Physician · Phoenixville, PA

Sucharitha Shanmugam, M.D. is a rheumatology physician with a practice address in Phoenixville, Pennsylvania, and NPI 1295941425, issued on May 15, 2007. Check the license (Pennsylvania MD426764, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1295941425
Name
Sucharitha Shanmugam
Credential
M.D.
Primary taxonomy
Rheumatology Physician 207RR0500X
License numbers
MD426764 PA
MT178938 PA
Self-reported in NPPES; status is on the state search
Practice location
824 Main St Ste 100, Phoenixville, PA 19460
Phone
(610) 933-8000
Enumerated
May 15, 2007
Record last updated
Aug 26, 2008 (not updated in 18 years: call before relying on the address or phone)
Fax
(610) 917-0320
Medicare enrollment
Enrolled (PECOS I20051019000614); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
Download card Updates feed

Also registered at 824 Main St Ste 100

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Benjamin Chan, D.O.Family Medicine Physician1922341528
  2. Justin Lannan, NP-BCNurse Practitioner1760217541
  3. Bryan Tang, PA-CPhysician Assistant1043856859

Verify Sucharitha Shanmugam in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD426764
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Pennsylvania license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

38% fewer Medicare Part D claims than the average rheumatology physician in 2024

1,220 Medicare Part D claims for 382 beneficiaries, against an average of 1,978 among the 6,301 providers of this specialty who prescribed in Part D. Brand-name drugs were 14% of claims. 12 claims were for opioids.

  1. Sucharitha Shanmugam1,220
  2. Specialty average1,978

Most prescribed

  1. Prednisone289 claims
  2. Methotrexate204 claims
  3. Hydroxychloroquine Sulfate103 claims
  4. Alendronate Sodium83 claims
  5. Allopurinol62 claims
  6. Celecoxib60 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

No measured MIPS final score for 2023

CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $5,088.53

107 payments; by number, the most common kind was food and beverage; the largest payer was Janssen Biotech, Inc. The 4,486 providers of this specialty with any payment received $8,538.33 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Sucharitha Shanmugam$5,088.53
  2. Specialty average$8,538.33

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Rheumatology And Arthritis Care Center PLLCExton, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Sucharitha Shanmugam among 413 rheumatology physician records in Pennsylvania

Sucharitha Shanmugam, M.D. is one of 413 rheumatology physician records with a practice address in Pennsylvania. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 47% of them.

  • NPI issued2007 · 47% of these records are older, 42% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileYes · 67% of these records are
  • Graduated2000 · median 2004 among the 275 with a school on file
  • Record last updated2008 · 63% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RR0500X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Rheumatology Physician providers in Pennsylvania

There are 413 rheumatology physician records in Pennsylvania.

The 8 rheumatology physician records with the nearest ZIP codes

  1. Ammarah Hussain, M.D.Plymouth Meeting, PA 194621912355728
  2. Shady Abdelbaki, M.D.Pottstown, PA 194641003270414
  3. Stacey Fitch, DOPottstown, PA 194641760462063
  4. Sabahath Jaleel, MDPottstown, PA 194641144674847
  5. Michael Perilstein, MDPottstown, PA 194641790800092
  6. Christiane Arsever, MDNorth Wales, PA 194541174454219
  7. Matthew Naegle, M.D.Limerick, PA 194681033291844
  8. Warren Katz, M.D.Upper Gwynedd, PA 194461912933805

Common questions

What is Sucharitha Shanmugam, M.D.'s NPI number?

Sucharitha Shanmugam, M.D.'s National Provider Identifier (NPI) is 1295941425, issued on May 15, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Sucharitha Shanmugam, M.D. located?

The NPPES record lists a practice address at 824 Main St Ste 100, Phoenixville, PA, 19460. Phone: (610) 933-8000. Providers update this record themselves, so call before visiting.

How can I verify Sucharitha Shanmugam, M.D.'s license?

NPPES lists Pennsylvania license number MD426764, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Sucharitha Shanmugam, M.D. prescribe under Medicare Part D?

In 2024, Sucharitha Shanmugam, M.D. had 1,220 Medicare Part D claims for 382 beneficiaries; the average among rheumatology physician prescribers was 1,978. Part D covers Medicare prescriptions only.

What is Sucharitha Shanmugam, M.D.'s MIPS final score?

CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.