Shantanu Baghel, DO
NPI 1134610983 · Psychiatry Physician · Wilmington, NC
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shantanu Baghel, DO is a Psychiatry Physician provider in Wilmington, NC (NPI 1134610983).
Provider details
- NPI number
- 1134610983
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 305107 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
131 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 49 | $46 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 34 | $114 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 27 | $123 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 21 | $67 |
Typical Medicare-allowed amounts for these services range $46–$123 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$101 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 315 S Manning BlvdAlbany, NY 12208-1707Phone: (518) 525-1301Fax: (518) 525-5691
- 2215 Burdett AveTroy, NY 12180-2466Phone: (518) 833-6470Fax: (518) 271-3682
Registry dates
- Enumerated
- 2018-05-28
- Last updated
- 2025-01-09
- Certified
- 2025-01-09
Frequently asked questions
- What is Shantanu Baghel's NPI number?
- Shantanu Baghel's National Provider Identifier (NPI) is 1134610983, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shantanu Baghel's specialty?
- Shantanu Baghel is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Shantanu Baghel located?
- Shantanu Baghel's practice location on file with NPPES is 2131 S 17th St, Wilmington, NC 28401-7407.
- What is Shantanu Baghel's phone number?
- The practice phone number listed in the NPPES registry for Shantanu Baghel is (910) 667-7000.
- Does Shantanu Baghel accept Medicare?
- Shantanu Baghel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shantanu Baghel's NPI active?
- Yes — Shantanu Baghel's NPI (1134610983) is active in the NPPES registry as of the last update on 2025-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.