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SHAMILA GARG MD
NPI 1184663742
Internal Medicine - Hematology & Oncology in Mishawaka, IN

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
301 E DAY RD, MISHAWAKA, IN 46545(574) 204-7260(574) 204-7261 Get Directions Write a Review

NPPES record last updated: March 30, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Shamila Garg Md NPPES

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

SHAMILA GARG MD (NPI 1184663742) is an individual hematology & oncology provider in Mishawaka, Indiana, licensed in Indiana (01078317A) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Osf Little Company Of Mary Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1184663742
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameSHAMILA GARGCredential: MD
Location Address301 E DAY RDMishawaka, IN 46545-3455
Mailing Address301 E Day RdMishawaka, IN 46545-3455 · (574) 204-7260 · Fax (574) 204-7261
Phone(574) 204-7260
Fax(574) 204-7261
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJune 6, 2006
Last NPPES UpdateMarch 30, 2018
✔ NPI 1184663742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in IN · 01078317A✔ Licensed in KS · 0430931✔ Licensed in MO · 2001025565✔ Licensed in NE · 27442✔ Licensed in PA · MD440186✔ Licensed in NY · 257793
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
301 E DAY RD, Mishawaka, IN 46545
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Other Identifiers 4

Medicaid03236275NY
Medicaid1024963730001PA
Medicaid300006950IN
Other7190594Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shamila Garg Md 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 ID9931160017
PECOS Enrollment IDI20190131002398
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 8

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.
566 services138 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.
262 services91 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
78 services66 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.
63 services35 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
37 services35 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
32 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Osf Little Company Of Mary Medical Center

Acute Care Hospitals · Evergreen Park, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140179
Location2800 W 95th StEvergreen Park, IL 60805 · Cook County
Emergency services Birthing friendly

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140208
Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 14

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

THE SOUTH BEND CLINIC LLC
Durable Medical Equipment & Medical Supplies
301 E DAY RD
MISHAWAKA, IN 46545
St. Joseph County (574) 299-2450
DR. EUGENE HUANG MD
Emergency Medicine
301 E DAY RD
MISHAWAKA, IN 46545
St. Joseph County (574) 204-7243
DR. YUFENG KEVIN WU MD
Internal Medicine (Medical Oncology)
301 E DAY RD, STE 200
MISHAWAKA, IN 46545
St. Joseph County (574) 204-7252
CANCER CARE PARTNERS, LLC
Special Hospital
301 E DAY RD
MISHAWAKA, IN 46545
St. Joseph County (574) 204-7300
MRS. DENISE DEE IMPERIAL RD
Dietitian, Registered
301 E DAY RD
MISHAWAKA, IN 46545
St. Joseph County (574) 204-6465
MEGAN A DANG
Nurse Practitioner (Family)
301 E DAY RD
MISHAWAKA, IN 46545
St. Joseph County (574) 237-9338
DR. KATHRYN L PARK MD
Pain Medicine (Pain Medicine)
301 E DAY RD
MISHAWAKA, IN 46545
St. Joseph County (574) 237-9340
MICHIANA DENTAL SLEEP, LLC.
Dentist
301 E DAY RD, SUITE 100
MISHAWAKA, IN 46545
St. Joseph County (574) 271-3198

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 Shamila Garg's NPI number?

The NPI number for Shamila Garg is 1184663742. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Shamila Garg located?

Shamila Garg practices at 301 E Day Rd, Mishawaka, IN 46545. The listed phone number is (574) 204-7260.

What is Shamila Garg's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Shamila Garg enrolled in Medicare?

Yes. Shamila Garg 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.

What insurance does Shamila Garg accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Shamila Garg 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 Shamila Garg affiliated with any hospitals?

According to CMS data, Shamila Garg is affiliated with Osf Little Company Of Mary Medical Center and Advocate Christ Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Shamila Garg was last updated on March 30, 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.