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DR. SHASHANK PONUGOTI MD
NPI 1205085651
Internal Medicine in Morgantown, WV

Active since September 10, 2008PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26505(304) 293-1964 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Shashank Ponugoti Md NPPES

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

DR. SHASHANK PONUGOTI MD (NPI 1205085651) is an individual internal medicine provider in Morgantown, West Virginia, licensed in West Virginia (23711) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Williamson Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1205085651
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHASHANK PONUGOTICredential: MD
Location Address1 MEDICAL CENTER DRIVEMorgantown, WV 26505
Mailing AddressPo Box 88White Sulphur Springs, WV 24986-0088 · (304) 536-5030 · Fax (304) 536-5031
Phone(304) 293-1964
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 10, 2008
Last NPPES UpdateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
✔ NPI 1205085651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WV · 23711
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.
Also ListedHospitalistTaxonomy 208M00000X · License 53981 (TN)
1 MEDICAL CENTER DRIVE, Morgantown, WV 26505
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Other Identifiers 7

Other000000276995WV · Oh Unison
Other0817345WV · Cigna
Other1072968WV · Carelink/coventry
Other613154600WV · Black Lung/feca
Medicaid3810015455WV
Medicaid7100084200KY
Medicaid2969328OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Dr. Shashank Ponugoti 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 ID6103963319
PECOS Enrollment IDI20160506001499
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

4

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

Hospital Medicine Services Of Tn, LLC
445 mi
Hospitalist
2300 PATTERSON ST
Nashville, TN 37203
  • Reassigned Medicare billing, Tennessee enrollment
  • 420 clinicians in this Medicare group
NPI 1982301065 (615) 342-1001
Williamson Hospitalist Program
455 mi
Hospitalist
4323 CAROTHERS PKWY STE 205
Franklin, TN 37067
  • Reassigned Medicare billing, Tennessee enrollment
  • 54 clinicians in this Medicare group
NPI 1871057158 (615) 435-6700
Family Health Group Inc
479 mi
Anesthesiology
854 W JAMES CAMPBELL BLVD
Columbia, TN 38401
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: Maury Regional Medical Group, Inc
  • 228 clinicians in this Medicare group
NPI 1134553878 (931) 540-4255
Psynergy Health Med PLLC
774 mi
Primary Care
4901 VINELAND RD STE 350
Orlando, FL 32811
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4 clinicians in this Medicare group
NPI 1891513420 (407) 469-5088

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.
189 services76 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.
175 services73 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.
71 services66 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.
47 services47 patients

Hospital Affiliations CMS Care Compare 2

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

Williamson Medical Center

Acute Care Hospitals · Franklin, TN
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440029
Location4321 Carothers ParkwayFranklin, TN 37067 · Williamson County
Emergency services Birthing friendly

Tristar Stonecrest Medical Center

Acute Care Hospitals · Smyrna, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440227
Location200 Stonecrest BoulevardSmyrna, TN 37167 · Rutherford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26505 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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…
97%319 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 2

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
2 suppliers21 claims21 services$14.98 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
2 suppliers21 claims21 services$71.06 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. MOHAMMED ALMUBARAK MD
Internal Medicine (Hematology & Oncology)
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26505
Monongalia County (304) 293-4229
LINDA PATRICK SLP
Speech-Language Pathologist
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26505
Monongalia County (304) 598-4118
MRS. NICOLE POZUN APP
Nurse Practitioner
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26505
Monongalia County (304) 598-4000
PHYSICIANS OFFICE CENTER
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26505
Monongalia County (304) 293-7401
KAYLEIGH BURNER APRN
Nurse Practitioner (Family)
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26505
Monongalia County (304) 598-4800
SAMANTHA HALL NP-C
Nurse Practitioner (Family)
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26505
Monongalia County (304) 598-4500
DR. JARED FOX PHARMD
Pharmacist
1 MEDICAL CENTER DRIVE, RUBY MEMORIAL HOSPITAL
MORGANTOWN, WV 26505
Monongalia County (304) 598-8316
DR. FERAS ABDULLAH ALAWAD M. D
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26505
Monongalia County (304) 293-5251

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 Shashank Ponugoti's NPI number?

The NPI number for Shashank Ponugoti is 1205085651. It was assigned to this individual provider in the NPPES registry on September 10, 2008.

Where is Shashank Ponugoti located?

Shashank Ponugoti practices at 1 Medical Center Drive, Morgantown, WV 26505. The listed phone number is (304) 293-1964.

What is Shashank Ponugoti's specialty?

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

Is Shashank Ponugoti enrolled in Medicare?

Yes. Shashank Ponugoti 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 Shashank Ponugoti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shashank Ponugoti reassigns Medicare benefits to 4 organizations: Hospital Medicine Services Of Tn, LLC (Nashville, TN), Williamson Hospitalist Program (Franklin, TN), Family Health Group Inc (Columbia, TN) and Psynergy Health Med PLLC (Orlando, FL). 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 Shashank Ponugoti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shashank Ponugoti accept?

Health plans from Oscar Insurance Company list Shashank Ponugoti 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 Shashank Ponugoti affiliated with any hospitals?

According to CMS data, Shashank Ponugoti is affiliated with Williamson Medical Center and Tristar Stonecrest Medical Center.

When was this NPI record last updated?

The NPPES record for Shashank Ponugoti was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.