KANDAMURUGU MANICKAM (MD) – Clinical Genetics (M.D.) Physician, NPI 1972712743
Clinical Genetics (M.D.) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,199 INTERNAL MEDICINE in OH
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Provider Addresses for KANDAMURUGU MANICKAM (MD)
Nationwide Children's Hospital, 700, Children's Drive, Livingston Park, Columbus, Franklin, Ohio, 43205, United States
COLUMBUS, OH 432052664
Phone: (614) 722-3538
Fax: (614) 722-3546
Type: Location
455 Executive Campus Dr
Westerville, OH 430828870
Phone: (614) 722-2000
Type: Location
410 W 10th Ave
Columbus, OH 432101240
Phone: (614) 722-2000
Type: Location
555 S 18th St
Columbus, OH 432052654
Phone: (614) 722-6200
Type: Location
2213 Cherry St
Toledo, OH 436082603
Phone: (419) 251-8015
Type: Location
380 Butterfly Gardens Dr
Columbus, OH 432157508
Phone: (614) 722-2000
Type: Location
5665 Venture Dr
Dublin, OH 430172159
Phone: (614) 722-6200
Type: Location
278 W Union St
Athens, OH 457012310
Phone: (614) 722-6200
Type: Location
26 Hospital Dr
Athens, OH 457012471
Phone: (614) 722-2000
Type: Location
500 S Cleveland Ave
Westerville, OH 430818971
Phone: (614) 722-2000
Type: Location
7901 Diley Rd
Canal Winchester, OH 431109612
Phone: (614) 722-2000
Type: Location
2222 Cherry St Ste 2600
Toledo, OH 436082675
Phone: (419) 251-8015
Type: Location
730 W Market St
Lima, OH 458014602
Phone: (614) 722-6200
Type: Location
740 Adair Ave
Zanesville, OH 437012838
Phone: (614) 722-2000
Type: Location
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: 2009-01-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090114000172 | I | Internal Medicine | OH | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | OH | |
| P S Y C H I A T R Y | OH | |
| Clinical Social Worker | OH | |
| - | OH |
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