LAKSHMANAN SIVASUNDARAM – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1245694462

LAKSHMANAN SIVASUNDARAM is a healthcare provider. based in Thousand oaks, California. specializing in SPORTS MEDICINE. They hold a License No. A175877 (CA). The NPI Number for LAKSHMANAN SIVASUNDARAM is 1245694462

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
LAKSHMANAN SIVASUNDARAM
NPI
1245694462
Phone
(805) 379-4574
Address
137 E Thousand Oaks Blvd
Enumeration Date
13 April 2016
Last Update Date
20 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8055271404
Graduation Year
2016 (10 years ago)
PAC ID
2365851664
Group Practice PAC ID
2062312911
Professional Enrollment ID
I20221128002271
Address ID
CA930652352SI2525XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:10State licenses:1Digital endpointsOther names

700 SPORTS MEDICINE in CA

Provider Addresses for LAKSHMANAN SIVASUNDARAM

  • 137 E Thousand Oaks Blvd

    Thousand Oaks, CA 913605707

    Phone: (805) 379-4574

    Type: Location

  • 11100 EUCLID AVE # HAN5043

    CLEVELAND, OH 441061716

    Phone: (216) 844-3233

    Type: Mailing

  • 1203 FLYNN RD UNIT 160

    CAMARILLO, CA 930126203

    Phone: (805) 804-4168

    Fax: (805) 830-1177

    Type: Mailing

  • 2525 ERRINGER RD

    SIMI VALLEY, CA 930652352

    Phone: (805) 527-1404

    Type: Location

  • 13010 HESPERIA RD STE 600

    VICTORVILLE, CA 923958321

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $6,602.

Total Amount is formed as General ($6,602) + Research ($0) + Ownership ($0) = $6,602.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Stryker Corporation ($4,090).

Total Amount

$6,602

General + Research + Ownership

Payments

60

Total payment records

General Amount

$6,602

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-11-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210521000135IOrthopedic SurgeryILTBD
I20221128002271ISports MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg63077$0
99214Established patient office or other outpatient visit, 30-39 minutes205137$0
99213Established patient office or other outpatient visit, 20-29 minutes143104$0
99204New patient office or other outpatient visit, 45-59 minutes118118$0
20610Aspiration and/or injection of fluid from large joint9772$0
View full utilization report →

Insurance plans in this area (ZIP 91360)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062312911View full group profile
NameSpecialtyState
-CA
Physical Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Sports Medicine, Orthopedic SurgeryCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

Does LAKSHMANAN SIVASUNDARAM share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LAKSHMANAN SIVASUNDARAM uses 1245694462.
Is LAKSHMANAN SIVASUNDARAM listed as active for patients and plans?
The listing shows LAKSHMANAN SIVASUNDARAM as active in the NPI system.
What is LAKSHMANAN SIVASUNDARAM's primary classification?
Sports Medicine (Orthopaedic Surgery) Physician is the headline specialty for LAKSHMANAN SIVASUNDARAM here. Clinical services aligned with this taxonomy classification.
What area does LAKSHMANAN SIVASUNDARAM serve?
LAKSHMANAN SIVASUNDARAM's listing highlights Thousand Oaks, California; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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