Individual provider Active NPI

Phaniram B Sumanam, M.D.

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1962841130
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD460341 Issued in PA
Practice address
2601 Holme Ave
Philadelphia, PA 19152-2007
Phone
(215) 335-6000
NPI assigned
Jun 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD460341 PA Primary
Internal Medicine Physician 207R00000X MD460341 PA
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2601 Holme Ave
Philadelphia, PA 19152-2007

Mailing address

2601 Holme Ave
Philadelphia, PA 19152-2007
Phone (215) 335-6000

Other practice location 1

501 Bath Rd
Bristol, PA 19007-3101
Phone (215) 785-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160808002424 NY Practitioner - Internal Medicine 9436443835 Reassigns benefits to 1 organization
I20171023002710 PA Practitioner - Internal MedicinePractitioner - Hospitalist 9436443835 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD460341PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Feb 13, 2021 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Nov 17, 2024 Accepting new patients
Tower Health Medical Group Internal Medicine Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jan 8, 2024 Accepting new patients
New York University Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Oct 22, 2025 Accepting new patients
Tower Health Medical Group CurrentSince Nov 9, 2021 Accepting new patients
New York University Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Oct 22, 2025 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Tower Health Medical Group CurrentSince Nov 9, 2021 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jan 1, 2019 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Feb 13, 2021 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
MHP MD PLLC CurrentSince Jan 2, 2022 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Jan 1, 2019 Accepting new patients
Pennsylvania Urgent Care Centers, PLLC CurrentSince Nov 1, 2021 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jan 8, 2024 Accepting new patients
Medical Services of Suffolk County PC Emergency Medicine CurrentSince Jul 25, 2023 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

780 N Krocks Rd
Ste 101B
Allentown, PA 18106
Phone (610) 365-3354

501 Bath Rd
Bristol, PA 19007
Phone (215) 785-9200

48 E Ridge Pike
#A
Conshohocken, PA 19428
Phone (484) 243-6730

400 Fayette St
Ste 180
Conshohocken, PA 19428
Phone (484) 243-6622

150 E Pennsylvania Ave
Ste 140
Downingtown, PA 19335
Phone (610) 518-1060

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

100 E Lehigh Ave
Philadelphia, PA 19125
Phone (215) 707-1200

5800 Ridge Ave
Philadelphia, PA 19128
Phone (215) 487-4334

333 Cottman Ave
#Int
Philadelphia, PA 19111
Phone (215) 728-2844

2701 Holme Ave
Ste 100
Philadelphia, PA 19152
Phone (215) 335-3972

180 W Girard Ave
Ste 108
Philadelphia, PA 19123
Phone (267) 319-8047

333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

1015 W Baltimore Pike
West Grove, PA 19390
Phone (610) 869-1000

2401 W Cheltenham Ave
Ste 132
Wyncote, PA 19095
Phone (215) 935-6777

2802 Papermill Rd
Wyomissing, PA 19610
Phone (484) 628-2571

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16196/brand/1/csg/1/fhir/r4
  • Direct secure messaging: psumanam2020041@direct.trinity-health.org

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1962841130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 HOLME AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522007",
            "telephone_number": "215-335-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 HOLME AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522007",
            "telephone_number": "215-335-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Bath Rd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "PA",
            "postal_code": "190073101",
            "country_code": "US",
            "telephone_number": "215-785-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMANAM",
        "first_name": "PHANIRAM",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-20",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD460341",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD460341",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.