DR. SHUBHANG N MAZUMDAR M.D.
NPI 1003887183
Internal Medicine in Nellis Afb, NV

Q: What is Shubhang Mazumdar's NPI number?

The NPI number for Shubhang Mazumdar is 1003887183. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Q: What is Shubhang Mazumdar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Shubhang Mazumdar was last updated on March 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 27, 2006PECOS Enrolled

4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191(702) 653-3800 Get Directions Write a Review

NPPES record last updated: March 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2018, May 10, 2016 (2 updates tracked since 2016).

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About Dr. Shubhang N Mazumdar M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHUBHANG N MAZUMDAR M.D. (NPI 1003887183) is an individual internal medicine provider in Nellis Afb, Nevada, licensed in Georgia (19297) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Marietta.

NPPES Registry Identity

NPI1003887183

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. SHUBHANG N MAZUMDARCredential: M.D.

Location Address4700 LAS VEGAS BLVD NNellis Afb, NV 89191

Mailing Address4700 Las Vegas Blvd NNellis Afb, NV 89191 · (702) 653-3800

Phone(702) 653-3800

Sole ProprietorYes

Enumeration DateJanuary 27, 2006

Last NPPES UpdateMarch 6, 20182 updates tracked since enumeration

✔ NPI 1003887183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in GA · 19297✔ Licensed in AZ · 42826

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4700 LAS VEGAS BLVD N, Nellis Afb, NV 89191

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Secondary Practice Location 1

Location 12550 Windy Hill Rd SE, STE# 309Marietta, GA 30067-8665 · Phone (770) 951-1565 · Fax (770) 988-0563

Other Identifiers 1

Medicaid000266791BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shubhang N Mazumdar M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89191 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$131.25 typical visit price

range $57.07 – $173.24

Typical copayment $32.81 (range $14.26 – $43.31)

Most-billed visit code 99204

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$185.34 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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