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VIJAY SHANMUGAM M.D.
NPI 1174576839
Psychiatry & Neurology - Neurology in Lancaster, CA

Active since May 17, 2006PECOS Enrolled
96.33/100
CMS Quality Rating
44215 15TH ST W, #204, LANCASTER, CA 93534(661) 726-9220(661) 726-0240 Get Directions Write a Review

NPPES record last updated: March 28, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vijay Shanmugam M.d. NPPES

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

VIJAY SHANMUGAM M.D. (NPI 1174576839) is an individual neurology provider in Lancaster, California, licensed in California (A66787) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1174576839
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameVIJAY SHANMUGAMCredential: M.D.
Location Address44215 15TH ST W, #204Lancaster, CA 93534-4014
Mailing Address44215 15th St W, #204Lancaster, CA 93534-4014 · (661) 726-9220 · Fax (661) 726-0240
Phone(661) 726-9220
Fax(661) 726-0240
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateMay 17, 2006
Last NPPES UpdateMarch 28, 2011
✔ NPI 1174576839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · A66787
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

44215 15TH ST W, Lancaster, CA 93534
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Other Identifiers 3

Medicare UPING80772CA
Medicare ID-Type UnspecifiedA66787CA
Medicaid00A667870CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vijay Shanmugam M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012997778
PECOS Enrollment IDI20080303000314
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.

Areas of Expertise CMS Part B claims 14

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.

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.
634 services364 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.
312 services136 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
239 services239 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
117 services83 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
100 services57 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.
85 services80 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93534 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

96.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.4
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%2,598 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
55%2,703 patients2/55-star benchmark: 100%
Falls: Plan of Care
Percentage of patients aged 65 years and older with a history of falls that had a plan of care for falls documented within 12 months
100%56 patients5/55-star benchmark: 100%
Falls: Risk Assessment
Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months
100%61 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
91%1,029 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
11%1,876 patients1/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
64%365 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 969 patients
99%943 patients5/55-star benchmark: 98%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
100%824 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
46%1,876 patients2/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 571 patients
0%571 patients5/55-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.

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers14 claims14 services$119.74 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers14 claims42 services$44.70 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers18 claims103 services$3.22 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.

K.SIVAKUMAR,M.D.,INC
Clinic/Center (Primary Care)
44215 15TH ST W, SUITE # 307
LANCASTER, CA 93534
Los Angeles County (661) 949-5908
JEFFREY ROSS GUNTER MD INC
Dermatology
44215 15TH ST W, SUITE 309
LANCASTER, CA 93534
Los Angeles County (909) 335-8638
KUMARASAMY SIVAKUMAR MD
Internal Medicine
44215 15TH ST W, SUITE # 307
LANCASTER, CA 93534
Los Angeles County (661) 949-5908
RICHARD J. HAHN, M.D., A MEDICAL CORP
Surgery
44215 15TH ST W, SUITE 203
LANCASTER, CA 93534
Los Angeles County (661) 948-0062
NITIN A SHAH MD
Orthopaedic Surgery
44215 15TH ST W, STE 110
LANCASTER, CA 93534
Los Angeles County (661) 945-7802
TAHA HAMOUI, M.D., INC
Internal Medicine (Gastroenterology)
44215 15TH ST W, SUITE 307
LANCASTER, CA 93534
Los Angeles County (661) 949-5901
SATYA NARAYANA DANDAMUDI M.D.
Internal Medicine
44215 15TH ST W, STE 103
LANCASTER, CA 93534
Los Angeles County (661) 948-4429
P.N.VARMA MD INC
Pediatrics
44215 15TH ST W, #115
LANCASTER, CA 93534
Los Angeles County (661) 949-5929

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 Vijay Shanmugam's NPI number?

The NPI number for Vijay Shanmugam is 1174576839. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Vijay Shanmugam located?

Vijay Shanmugam practices at 44215 15th St W #204, Lancaster, CA 93534. The listed phone number is (661) 726-9220.

What is Vijay Shanmugam's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Vijay Shanmugam enrolled in Medicare?

Yes. Vijay Shanmugam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vijay Shanmugam was last updated on March 28, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.