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SHAILLY DHAM M.D.
NPI 1134367352
Internal Medicine in Mankato, MN

Active since January 26, 2009PECOS EnrolledAccepts Medicare Assignment
MAYO CLINIC HEALTH SYSTEM MANKATO, 1025 MARSH ST, MANKATO, MN 56001(507) 625-4031 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shailly Dham M.d. NPPES

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

SHAILLY DHAM M.D. (NPI 1134367352) is an individual internal medicine provider in Mankato, Minnesota, licensed in Minnesota (104501) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System - Mankato, and maintains a secondary practice location in Robbinsdale.

NPPES Registry Identity

NPI1134367352
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHAILLY DHAMCredential: M.D.
Location AddressMAYO CLINIC HEALTH SYSTEM MANKATO, 1025 MARSH STMankato, MN 56001
Mailing Address3366 Oakdale Ave No, #315 North Clinic, PaRobbinsdale, MN 55422-2948 · (763) 587-7900 · Fax (763) 587-7989
Phone(507) 625-4031
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2006
Enumeration DateJanuary 26, 2009
Last NPPES UpdateMarch 31, 2021
NPPES CertifiedMarch 9, 2021
✔ NPI 1134367352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 104501
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.
MAYO CLINIC HEALTH SYSTEM MANKATO, Mankato, MN 56001
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Secondary Practice Location 1

Location 13366 Oakdale Ave No, #315 North Clinic, PARobbinsdale, MN 55422-2948 · Phone (763) 587-7900 · Fax (763) 587-7989

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

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

Shailly Dham 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 ID143368209
PECOS Enrollment IDI20091110000333
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

5

Medicare enrollment records show Shailly Dham reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mayo Clinic Health System-Southwest Minnesota Region
2.5 mi
Multi-Specialty
1025 MARSH ST
Mankato, MN 56001
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1740256668 (Minnesota), NPI 1124035282 (Minnesota)
  • 1,572 clinicians in this Medicare group
NPI 1578545422 (507) 625-4031
Mayo Clinic Health System-St James
33 mi
Critical Access
1101 MOULTON AND PARSONS DR
Saint James, MN 56081
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1023177730 (Minnesota)
  • 390 clinicians in this Medicare group
NPI 1639198732 (507) 375-3261
Mayo Clinic Health System-Southeast Minnesota Region
36 mi
Multi-Specialty
2200 NW 26TH ST
Owatonna, MN 55060
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1063435410 (Minnesota)
  • 1,571 clinicians in this Medicare group
NPI 1275060030 (507) 451-1120
Mayo Clinic Health System-Fairmont
41 mi
Multi-Specialty
800 MEDICAL CENTER DR
Fairmont, MN 56031
  • Reassigned Medicare billing, Minnesota enrollment
  • 806 clinicians in this Medicare group
NPI 1366410862 (507) 238-8100
Mayo Clinic Health System-Lake City
87 mi
Critical Access
500 W GRANT ST
Lake City, MN 55041
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1164463659 (Minnesota)
  • 675 clinicians in this Medicare group
NPI 1538113022 (651) 345-3321

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 4

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.
417 services170 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.
110 services109 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.
28 services18 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic Health System - Mankato

Acute Care Hospitals · Mankato, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240093
Location1025 Marsh StreetMankato, MN 56001 · Blue Earth County
Emergency services Birthing friendly

Mayo Clinic Health System New Prague

Critical Access Hospitals · New Prague, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241361
Location301 2nd Street NortheastNew Prague, MN 56071 · Scott County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 2

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

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
2 suppliers23 claims23 services$87.41 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.94 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 2

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

DR. EMILY JANE HOLM PHARM.D.
Pharmacist
MAYO CLINIC HEALTH SYSTEM MANKATO, 1025 MARSH ST
MANKATO, MN 56001
Blue Earth County (507) 625-4031
DR. BRENT R BULLIS M.D.
Radiology (Diagnostic Radiology)
MAYO CLINIC HEALTH SYSTEM MANKATO, 1025 MARSH ST
MANKATO, MN 56001
Blue Earth County (507) 625-4031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shailly Dham's NPI number?

The NPI number for Shailly Dham is 1134367352. It was assigned to this individual provider in the NPPES registry on January 26, 2009.

Where is Shailly Dham located?

Shailly Dham practices at Mayo Clinic Health System Mankato 1025 Marsh St, Mankato, MN 56001. The listed phone number is (507) 625-4031.

What is Shailly Dham's specialty?

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

Is Shailly Dham enrolled in Medicare?

Yes. Shailly Dham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shailly Dham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shailly Dham reassigns Medicare benefits to 5 organizations: Mayo Clinic Health System-Southwest Minnesota Region (Mankato, MN), Mayo Clinic Health System-St James (Saint James, MN), Mayo Clinic Health System-Southeast Minnesota Region (Owatonna, MN), Mayo Clinic Health System-Fairmont (Fairmont, MN) and Mayo Clinic Health System-Lake City (Lake City, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shailly Dham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shailly Dham accept?

Health plans from Sanford Health Plan list Shailly Dham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shailly Dham affiliated with any hospitals?

According to CMS data, Shailly Dham is affiliated with Mayo Clinic Health System - Mankato and Mayo Clinic Health System New Prague.

When was this NPI record last updated?

The NPPES record for Shailly Dham was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.