DR. SHAGUN BAGGA-MALHOTRA M.D.
NPI 1063677508
Internal Medicine in Modesto, CA

Q: What is Shagun Bagga-malhotra's NPI number?

The NPI number for Shagun Bagga-malhotra is 1063677508. It was assigned to this individual provider in the NPPES registry on July 24, 2008.

Q: What is Shagun Bagga-malhotra's specialty?

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

Active since July 24, 2008PECOS EnrolledAccepts Medicare Assignment

1441 FLORIDA AVE, MODESTO, CA 95350(209) 576-3525(209) 576-3544 Get Directions Write a Review

NPPES record last updated: March 9, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Shagun Bagga-malhotra M.d. NPPES

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

DR. SHAGUN BAGGA-MALHOTRA M.D. (NPI 1063677508) is an individual internal medicine provider in Modesto, California, licensed in California (A119796) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1063677508

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. SHAGUN BAGGA-MALHOTRACredential: M.D.

Location Address1441 FLORIDA AVEModesto, CA 95350-4404

Mailing Address1441 Florida AveModesto, CA 95350-4404 · (209) 576-3525 · Fax (209) 576-3544

Phone(209) 576-3525

Fax(209) 576-3544

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 24, 2008

Last NPPES UpdateMarch 9, 2012

✔ NPI 1063677508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A119796

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.

1441 FLORIDA AVE, Modesto, CA 95350

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Other Identifiers 1

OtherA119796CA · Lmed Lic

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shagun Bagga-malhotra M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577603109

PECOS Enrollment IDI20120419000449

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.

Medicare Billing Reassignments

Medicare enrollment records show Shagun Bagga-malhotra reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalists Of Modesto Medical Group Inc

Same address

Internal Medicine

1441 FLORIDA AVE
Modesto, CA 95350

Reassigned Medicare billing, California enrollment
176 clinicians in this Medicare group

NPI 1821190711 (209) 576-3525

Progressive Urgent Care Inc

1.5 mi

Family Medicine

801 17TH ST
Modesto, CA 95354

Reassigned Medicare billing, California enrollment
7 clinicians in this Medicare group

NPI 1164957486 (209) 251-0200

Galen Inpatient Physicians, PC

14 mi

Hospitalist

1205 E NORTH ST
Manteca, CA 95336

Reassigned Medicare billing, California enrollment
962 clinicians in this Medicare group

NPI 1689320459 (209) 823-3111

Community Medical Team Acute Care Corporation

40 mi

Emergency Medicine

768 MOUNTAIN RANCH RD
San Andreas, CA 95249

Reassigned Medicare billing, California enrollment
30 clinicians in this Medicare group

NPI 1366210478 (209) 915-6505

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

130 services77 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

28 services28 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

27 services26 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

27 services21 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

26 services26 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 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

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

95%212 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers39 claims39 services$12.56 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers57 claims57 services$70.52 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier13 claims13 services$38.23 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.

DR. THUY-LIEN THI LE M.D.

Student in an Organized Health Care Education/Training Program