DR. SHREENIVASAN SHANMUGAM MD
NPI 1215415419
Internal Medicine in Cincinnati, OH

Q: What is Shreenivasan Shanmugam's NPI number?

The NPI number for Shreenivasan Shanmugam is 1215415419. It was assigned to this individual provider in the NPPES registry on July 31, 2018.

Q: What is Shreenivasan Shanmugam's specialty?

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

Active since July 31, 2018PECOS EnrolledAccepts Medicare Assignment

6045 BRIDGETOWN RD, CINCINNATI, OH 45248(513) 981-4105(513) 347-4620 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 1, 2021, Jul 31, 2018 (2 updates tracked since 2018).

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About Dr. Shreenivasan Shanmugam Md NPPES

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

DR. SHREENIVASAN SHANMUGAM MD (NPI 1215415419) is an individual internal medicine provider in Cincinnati, Ohio, licensed in Illinois (125071669) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with The Jewish Hospital-mercy Health, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1215415419

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. SHREENIVASAN SHANMUGAMCredential: MD

Location Address6045 BRIDGETOWN RDCincinnati, OH 45248-3049

Mailing Address6045 Bridgetown RdCincinnati, OH 45248-3049 · (513) 981-4105 · Fax (513) 347-4620

Phone(513) 981-4105

Fax(513) 347-4620

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 31, 2018

Last NPPES UpdateJune 1, 20212 updates tracked since enumeration

NPPES CertifiedJune 1, 2021

✔ NPI 1215415419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 125071669

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.

6045 BRIDGETOWN RD, Cincinnati, OH 45248

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Shreenivasan Shanmugam 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 ID4789920877

PECOS Enrollment IDI20210908002448

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 9

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.

268 services139 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

64 services55 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

56 services35 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

46 services20 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

43 services35 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

30 services30 patients

Hospital Affiliations CMS Care Compare 4

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

The Jewish Hospital-Mercy Health

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360016

Location4777 East Galbraith RoadCincinnati, OH 45236 · Hamilton County

Emergency services

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360056

Location3000 Mack RoadFairfield, OH 45014 · Butler County

Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360163

Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County

Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360234

Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45248 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 13

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

PRASAD G. CHANDRA M.D.

Internal Medicine

6045 BRIDGETOWN RD
CINCINNATI, OH 45248

Hamilton County (513) 981-4105

JARED GALLOWAY

Internal Medicine

6045 BRIDGETOWN RD
CINCINNATI, OH 45248

Hamilton County (513) 981-4105

MARY THERESA CARDONE M.D.

Internal Medicine

6045 BRIDGETOWN RD
CINCINNATI, OH 45248

Hamilton County (513) 981-4105

PRASHANTH R. KESAV M.D.

Internal Medicine

6045 BRIDGETOWN RD
CINCINNATI, OH 45248

Hamilton County (513) 981-4105

RICHARD G. KLOPP M.D.

Internal Medicine

6045 BRIDGETOWN RD
CINCINNATI, OH 45248

Hamilton County (513) 981-4105

JAVARIA ANWAR M.D.

Internal Medicine

6045 BRIDGETOWN RD
CINCINNATI, OH 45248

Hamilton County (513) 981-4105

DR. MATTHEW L. BUSAM MD

Orthopaedic Surgery (Sports Medicine)

6045 BRIDGETOWN RD, STE 4
CINCINNATI, OH 45248

Hamilton County (513) 347-9999

SCOTT H ARMENTROUT P.H.D.

Psychologist

6045 BRIDGETOWN RD
CINCINNATI, OH 45248

Hamilton County (513) 981-4105

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 Shreenivasan Shanmugam's NPI number?

The NPI number for Shreenivasan Shanmugam is 1215415419. It was assigned to this individual provider in the NPPES registry on July 31, 2018.

Where is Shreenivasan Shanmugam located?

Shreenivasan Shanmugam practices at 6045 Bridgetown Rd, Cincinnati, OH 45248. The listed phone number is (513) 981-4105.

What is Shreenivasan Shanmugam's specialty?

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

Is Shreenivasan Shanmugam enrolled in Medicare?

Yes. Shreenivasan Shanmugam 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 Shreenivasan Shanmugam accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 3 other insurers list Shreenivasan Shanmugam 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 Shreenivasan Shanmugam affiliated with any hospitals?

According to CMS data, Shreenivasan Shanmugam is affiliated with The Jewish Hospital-Mercy Health, Mercy Health - Fairfield Hospital, Christ Hospital and Mercy Health - West Hospital.

When was this NPI record last updated?

The NPPES record for Shreenivasan Shanmugam was last updated on June 1, 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.