Santosh Shanmuga, MD
NPI 1386146769 · Urology Physician · Gainesville, GA
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Santosh Shanmuga, MD is a Urology Physician provider in Gainesville, GA (NPI 1386146769).
Provider details
- NPI number
- 1386146769
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101269085 (VA)
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
5 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
107 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) |
|---|---|---|
| Initial Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99221 | 36 | $76 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 34 | $46 |
| Imaging of Urinary Tract Following Injection of a Contrast Agent74420 | 21 | $23 |
| Insertion of Stent in Ureter Using an Endoscope52332 | 16 | $155 |
Typical Medicare-allowed amounts for these services range $23–$155 (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 4 records (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 (4)
- 6600 Van Aalst BlvdFort Moore, GA 31905-2102Phone: (762) 408-3566
- 1 Medical Park BlvdBristol, TN 37620-7430Phone: (423) 844-1121
- 400 N State of Franklin RdJohnson City, TN 37604-6035Phone: (423) 323-6900
- 2204 Pavilion Dr Ste 310Kingsport, TN 37660-4653Phone: (423) 246-4155
Registry dates
- Enumerated
- 2018-03-01
- Last updated
- 2026-01-14
- Certified
- 2026-01-14
Frequently asked questions
- What is Santosh Shanmuga's NPI number?
- Santosh Shanmuga's National Provider Identifier (NPI) is 1386146769, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Santosh Shanmuga's specialty?
- Santosh Shanmuga is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Santosh Shanmuga located?
- Santosh Shanmuga's practice location on file with NPPES is 743 Spring St Ne, Gainesville, GA 30501-3715.
- What is Santosh Shanmuga's phone number?
- The practice phone number listed in the NPPES registry for Santosh Shanmuga is (770) 219-9000.
- Does Santosh Shanmuga accept Medicare?
- Santosh Shanmuga is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Santosh Shanmuga's NPI active?
- Yes — Santosh Shanmuga's NPI (1386146769) is active in the NPPES registry as of the last update on 2026-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.