What is Balaji Shanmugam's NPI number?

Balaji Shanmugam's National Provider Identifier (NPI) is 1851786164, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Balaji Shanmugam's specialty?

Balaji Shanmugam is listed in the NPPES registry with a primary specialty of Interventional Cardiology Physician (Allopathic & Osteopathic Physicians).

Where is Balaji Shanmugam located?

Balaji Shanmugam's practice location on file with NPPES is 209 Belle Fontaine Cir, Lake Mary, FL 32746.

What is Balaji Shanmugam's phone number?

The practice phone number listed in the NPPES registry for Balaji Shanmugam is (917) 683-3516.

Does Balaji Shanmugam accept Medicare?

Balaji Shanmugam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Balaji Shanmugam's NPI active?

Yes — Balaji Shanmugam's NPI (1851786164) is active in the NPPES registry as of the last update on 2025-09-17.

IndividualActiveAccepts Medicare

Balaji Shanmugam, MD

NPI 1851786164 · Interventional Cardiology Physician · Lake Mary, FL

Balaji Shanmugam, MD is a Interventional Cardiology Physician provider in Lake Mary, FL (NPI 1851786164).

Provider details

NPI number: 1851786164
Entity type: Individual
Primary specialty: Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: 036172817 (IL)

Practice location

209 Belle Fontaine Cir

Suite #403

Lake Mary, FL 32746

Phone: (917) 683-3516

Street-level locationGet directions

More FL providers

Mailing address

209 Belle Fontaine Circle

Lake Mary, FL 32746

Specialties & taxonomies

Interventional Cardiology PhysicianPrimary207RI0011XLicense 036172817 (IL)
Allopathic & Osteopathic Physicians
Interventional Cardiology Physician207RI0011XLicense ME154696 (FL)
Allopathic & Osteopathic Physicians

Additional practice locations (1)

4600 Memorial Dr Ste W1
Belleville, IL 62226-5359
Phone: (618) 233-3066

Enrolled with Medicare as Practitioner - Interventional Cardiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Established profile(66/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure25% of score
11 yrs in NPPES registry
Profile completeness25% of score
100% of core fields populated
Practice footprint15% of score
2 documented practice locations
Medicare service volume (vs. specialty peers)25% of score
1,013 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 methodology.

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 Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232	281	$77
Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223	171	$169
Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function93306	169	$68
Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010	88	$8
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233	71	$115
Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes

What this provider prescribes (Medicare Part D)

Top drugs by Medicare Part D claim volume, 2024 · 28 distinct drugs on file.

Drug	Part D claims (2024)	Beneficiaries
Metoprolol Succinate	105	42
Metoprolol Tartrate	100	39
Atorvastatin Calcium	84	32
Apixabanbrand: Eliquis	83	28
Furosemide	76	29
Clopidogrel Bisulfatebrand: Clopidogrel	73	28

Transparency — industry payments

Based on CMS Open Payments, 2024; not all care is captured.

$180 across 8 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.

Enumerated: 2015-04-02
Last updated: 2025-09-17
Certified: 2025-09-17

Frequently asked questions

What is Balaji Shanmugam's NPI number?: Balaji Shanmugam's National Provider Identifier (NPI) is 1851786164, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Balaji Shanmugam's specialty?: Balaji Shanmugam is listed in the NPPES registry with a primary specialty of Interventional Cardiology Physician (Allopathic & Osteopathic Physicians).
Where is Balaji Shanmugam located?: Balaji Shanmugam's practice location on file with NPPES is 209 Belle Fontaine Cir, Lake Mary, FL 32746.
What is Balaji Shanmugam's phone number?: The practice phone number listed in the NPPES registry for Balaji Shanmugam is (917) 683-3516.
Does Balaji Shanmugam accept Medicare?: Balaji Shanmugam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Is Balaji Shanmugam's NPI active?: Yes — Balaji Shanmugam's NPI (1851786164) is active in the NPPES registry as of the last update on 2025-09-17.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

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 Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232	281	$77
Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223	171	$169
Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function93306	169	$68
Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010	88	$8
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233	71	$115
Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes

Drug

Part D claims (2024)

Beneficiaries

Metoprolol Succinate

105

Metoprolol Tartrate

100

Atorvastatin Calcium

Apixabanbrand: Eliquis

Furosemide

Clopidogrel Bisulfatebrand: Clopidogrel

Transparency — industry payments

Based on CMS Open Payments, 2024; not all care is captured.

$180 across 8 records (Open Payments 2024)

Provider details

Practice location

Mailing address

Specialties & taxonomies

Additional practice locations (1)

Profile Score

What this provider does (Medicare)

What this provider prescribes (Medicare Part D)

Transparency — industry payments

Registry dates

Frequently asked questions

Specialties & taxonomies

Additional practice locations (1)

Frequently asked questions

Profile Score

What this provider does (Medicare)

What this provider prescribes (Medicare Part D)

Transparency — industry payments