Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kalyani Theivanayagam, MD

Individual provider Internal Medicine Physician · NPI 1598878910

Kalyani Theivanayagam, MD is an Internal Medicine in Summit, New Jersey. Qualified in 1995, 31 years ago. Practices with Manickam Ganesh MD PA, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
31
Licensed in
NJ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

276 Woodland Ave
Summit, NJ 07901-1437
Phone: (973) 669-8181
Fax: (973) 669-1687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA06857500 (NJ)

Record details

NPI number1598878910
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 17, 2006
Last updated in NPPESDecember 23, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Manickam Ganesh Md Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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