DR. NATESA PANDIAN SHANMUGAM M.D.
NPI 1235160540
Internal Medicine - Critical Care Medicine in Lanham, MD

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
9801 GREENBELT RD, SUITE 101, LANHAM, MD 20706(301) 552-6666 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 6, 2025, Nov 1, 2017 (2 updates tracked since 2017).

About Dr. Natesa Pandian Shanmugam M.d. NPPES

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

DR. NATESA PANDIAN SHANMUGAM M.D. (NPI 1235160540) is an individual critical care medicine provider in Lanham, Maryland, licensed in Maryland (D0050412) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1235160540
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. NATESA PANDIAN SHANMUGAMCredential: M.D.
Location Address9801 GREENBELT RD, SUITE 101Lanham, MD 20706-2273
Mailing Address12204 Seline WayPotomac, MD 20854-2872 · (202) 468-3303 · Fax (301) 762-0408
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateJuly 5, 2006
Last NPPES UpdateMay 6, 20252 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1235160540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in MD · D0050412
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License MD21776 (DC)
9801 GREENBELT RD, Lanham, MD 20706

Secondary Practice Location 1

Location 11200 Pecan St SEWashington, DC 20032-2652 · Phone (771) 444-6200

Other Identifiers 3

Medicaid746801600MD
Other6875-0043MD · Care First Blue Cross
Other110223746MD · Uhc Rail Road

Accepted 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. Natesa Pandian Shanmugam 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 ID8527058544
PECOS Enrollment IDI20040513000198
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

6

Medicare enrollment records show Natesa Shanmugam reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
8200 GOOD LUCK RD
Lanham, MD 20706
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,150 clinicians in this Medicare group
Psychiatry
8200 GOOD LUCK RD
Lanham, MD 20706
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Also billed through NPI 1578127171 (Maryland)
  • 336 clinicians in this Medicare group
Critical Care Medicine
7500 HANOVER PKWY STE 105B
Greenbelt, MD 20770
  • Reassigned Medicare billing, District of Columbia, Maryland and Virginia enrollments
Obstetrics & Gynecology
7150 CONTEE RD
Laurel, MD 20707
  • Reassigned Medicare billing, District of Columbia enrollment
  • 328 clinicians in this Medicare group
Anesthesiology
2150 PENNSYLVANIA AVE NW, SUITE 10-409A
Washington, DC 20037
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,275 clinicians in this Medicare group
Critical Care Medicine
2401 RESEARCH BLVD, SUITE 350
Rockville, MD 20850
  • Reassigned Medicare billing, District of Columbia enrollment
  • 18 clinicians in this Medicare group

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 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
94 services40 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
27 services27 patients
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.
23 services20 patients

Hospital Affiliations CMS Care Compare

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

Holy Cross Hospital

Acute Care Hospitals · Silver Spring, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210004
Location1500 Forest Glen RoadSilver Spring, MD 20910 · Montgomery County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20706 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 12

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
9801 GREENBELT RD, SUITE 101
LANHAM, MD 20706
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9801 GREENBELT RD, SUITE 101
LANHAM, MD 20706
Podiatrist (Primary Podiatric Medicine)
9801 GREENBELT RD, SUITE 210
LANHAM, MD 20706
Community/Behavioral Health
9801 GREENBELT RD, SUITE 104
LANHAM, MD 20706
Internal Medicine (Pulmonary Disease)
9801 GREENBELT RD, SUITE 101
LANHAM, MD 20706
Emergency Medicine
9801 GREENBELT RD, SUIT 101
LANHAM, MD 20706
Durable Medical Equipment & Medical Supplies
9801 GREENBELT RD, SUITE#316
LANHAM, MD 20706
Internal Medicine (Pulmonary Disease)
9801 GREENBELT RD, SUITE 101
LANHAM, MD 20706

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 Natesa Shanmugam's NPI number?

The NPI number for Natesa Shanmugam is 1235160540. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Natesa Shanmugam located?

Natesa Shanmugam practices at 9801 Greenbelt Rd Suite 101, Lanham, MD 20706. The listed phone number is (301) 552-6666.

What is Natesa Shanmugam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Natesa Shanmugam enrolled in Medicare?

Yes. Natesa 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.

Which organizations bill Medicare for Natesa Shanmugam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Natesa Shanmugam reassigns Medicare benefits to 6 organizations: Emergency Medicine Associates P.A., P.C. (Lanham, MD), Luminis Health Medical Group, LLC (Lanham, MD), Intensive Pulmonology Inc. (Greenbelt, MD), Dimensions Healthcare Associates Inc (Laurel, MD), Medical Faculty Associates, Inc (Washington, DC) and 1 more organization, listed in the Medicare section above. 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 Natesa Shanmugam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Natesa Shanmugam accept?

Health plans from CareSource (Common Ground Healthcare) list Natesa 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 Natesa Shanmugam affiliated with any hospitals?

According to CMS data, Natesa Shanmugam is affiliated with Holy Cross Hospital.

When was this NPI record last updated?

The NPPES record for Natesa Shanmugam was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.