SURESHKUMAR K SHANMUGAVELU (PT, DPT) – Physical Therapist, NPI 1164435145

SURESHKUMAR K SHANMUGAVELU (PT, DPT) is a healthcare provider. based in Southfield, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 5501007122 (MI). The NPI Number for SURESHKUMAR K SHANMUGAVELU (PT, DPT) is 1164435145

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
SURESHKUMAR K SHANMUGAVELU (PT, DPT)
NPI
1164435145
Phone
(800) 974-4378
Address
29950 Telegraph Rd
Enumeration Date
14 August 2006
Last Update Date
18 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8009744378
Graduation Year
2006 (20 years ago)
PAC ID
8527057074
Group Practice PAC ID
4688679293
Professional Enrollment ID
I20040517000629
Address ID
MI481625208MO1779XHWYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for SURESHKUMAR K SHANMUGAVELU (PT, DPT)

  • 29950 Telegraph Rd

    Southfield, MI 480341355

    Phone: (800) 974-4378

    Fax: (630) 515-1536

    Type: Location

  • 29950 TELEGRAPH RD

    SOUTHFIELD, MI 480341355

    Phone: (800) 974-4378

    Fax: (630) 515-1536

    Type: Location

  • 24014 W RENWICK RD STE F

    PLAINFIELD, IL 605448708

    Phone: (800) 974-4378

    Fax: (630) 515-1536

    Type: Mailing

  • 1200 CORPORATE DR STE 400

    HOOVER, AL 352425424

    Phone: (423) 702-4389

    Type: Mailing

  • 47284 MICHIGAN AVE

    CANTON, MI 481882582

    Phone: (734) 418-5237

    Type: Location

  • Orchard Lake Road, West Bloomfield Township, Oakland County, Michigan, 48334, United States

    STE 333

    WEST BLOOMFIELD, MI 483223613

    Phone: (248) 626-0470

    Fax: (248) 626-0221

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-05-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20040517000629IPhysical Therapist In Private PracticeMITBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes29034$0
97530Therapy procedure using functional activities20932$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes14925$0
97140Therapy procedure using manual technique, each 15 minutes13425$0
97161Evaluation for physical therapy, typically 20 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 48034)

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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: 4688679293View full group profile
NameSpecialtyState
-WI
Physical Therapist In Private PracticeIL
-IL
-MI
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

How do I look up SURESHKUMAR K SHANMUGAVELU (PT, DPT) by NPI?
Use NPI 1164435145 when you need to reference SURESHKUMAR K SHANMUGAVELU (PT, DPT) in forms, claims, or directories.
Does this profile mean SURESHKUMAR K SHANMUGAVELU (PT, DPT) is currently active?
Yes — SURESHKUMAR K SHANMUGAVELU (PT, DPT) appears active in the national provider directory.
Does SURESHKUMAR K SHANMUGAVELU (PT, DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for SURESHKUMAR K SHANMUGAVELU (PT, DPT). Clinical services aligned with this taxonomy classification.
What location shows for SURESHKUMAR K SHANMUGAVELU (PT, DPT)?
We surface Southfield, Michigan for SURESHKUMAR K SHANMUGAVELU (PT, DPT) based on available NPPES addresses.
Is SURESHKUMAR K SHANMUGAVELU (PT, DPT) a real provider?
This page reflects official NPPES data for NPI 1164435145. Always confirm identity and privileges with the practice and licensing boards.

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