The temple is maintained and administered by Hindu Religious and Charitable Endowments Department of the Government of Tamil Nadu.

This place has been referred in Tevaram written by Saint Tamil poet of 7th Century CE, Thirugnana Sambanthar.

The temple is designed in such a way that during the first three days of Tamil month Chittirai (April - May), the rays of the Sun falls directly in the base of the presiding deity in sanctum sanctorum.

[4] In modern times, the temple is maintained and administered by the Hindu Religious and Charitable Endowments Department of the Government of Tamil Nadu.

[7] The epic scenes are in low relief on the plinth below the pilasters of the walls of the sanctum, recalling the wood work.

They all have a fair-sized porch, locally called ardhamandapa attached to the sanctum, both of which are slightly below the ground level in a pit kind of structure.

Like other Shiva temples of Tamil Nadu, the priests belong to the Shaiva community, a Brahmin sub-caste.

The temple rituals are performed five times a day; Ushathkalam at 6:30 a.m., Kalasanthi at 8:00 a.m., Uchikalam at 12:00 a.m., Sayarakshai at 5:00 p.m., and Ardha Jamam at 8:00 p.m. Each ritual comprises four steps: abhisheka (sacred bath), alangaram (decoration), naivethanam (food offering) and deepa aradanai (waving of lamps) for both Nageswarar and Periyanayagi.

The worship is held amidst music with nagaswaram (pipe instrument) and tavil (percussion instrument), religious instructions in the Vedas (sacred texts) read by priests and prostration by worshipers in front of the temple mast.

[11] Tirugnana Sambandar, a 7th-century Tamil Saivite poet, venerated Nageswarar in ten padigams in Tevaram, compiled as the First Tirumurai and second Tirumuari.

Appar, a contemporary of Sambandar, also venerated Nageswarar in 12 padigams in Tevaram, compiled in the Fourth, fifth and sixth Tirumurai.

Sundarar, the 8th century Nayanmar revered Nageswarar in seven padigams, which is compiled in Seventh Tirumuari.

[15] As per a Hindu belief, people troubled by Sarpa-dosha or Malefic effects Rahu-Kethu seek a relief by offering prayers in a single day to Kudanthai or Kumbakonam Nageshwarar in the morning, Thirunageshwaram Naganathar at the noon, Thirupamburam Pambureswarar in the evening and Nagoor Nageshwarar or Naganathar temple at night.