SHASHANK NUGURU MD
NPI 1285987552
Internal Medicine - Critical Care Medicine in Indianapolis, IN

Active since October 23, 2012PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
550 UNIVERSITY BLVD, UH 1501, INDIANAPOLIS, IN 46202(317) 948-1310(317) 948-0503 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 3, 2022, Feb 2, 2016 (2 updates tracked since 2016).

About Shashank Nuguru Md NPPES

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

SHASHANK NUGURU MD (NPI 1285987552) is an individual critical care medicine provider in Indianapolis, Indiana, licensed in Georgia (90273) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains a secondary practice location in Woodstock.

NPPES Registry Identity

NPI1285987552
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameSHASHANK NUGURUCredential: MD
Location Address550 UNIVERSITY BLVD, UH 1501Indianapolis, IN 46202-5149
Mailing Address120 Stonebridge Pkwy Ste 320Woodstock, GA 30189-3769 · (770) 422-1372 · Fax (770) 423-9651
Fax(317) 948-0503
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 23, 2012
Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2022
NPI 1285987552 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 GA · 90273
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 MedicineTaxonomy 207R00000X · License 01075577A (IN)
550 UNIVERSITY BLVD, Indianapolis, IN 46202

Secondary Practice Location 1

Location 1120 Stonebridge Pkwy Ste 320Woodstock, GA 30189-3769 · Phone (770) 422-1372 · Fax (770) 423-9651

Other Identifiers 1

Medicaid201309900IN

Accepted 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

Shashank Nuguru 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 ID6002121134
PECOS Enrollment IDI20210930001057
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 15

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.
196 services147 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.
119 services68 patients
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.
115 services56 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.
112 services112 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.
56 services37 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
51 services50 patients

Hospital Affiliations CMS Care Compare 2

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
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.

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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

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.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers12 claims43 services$1.67 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers13 claims13 services$9.76 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
4 suppliers28 claims28 services$30.35 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.

Radiology (Diagnostic Radiology)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202
Internal Medicine (Rheumatology)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202
Nurse Practitioner (Gerontology)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202
Obstetrics & Gynecology (Gynecology)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202
Internal Medicine (Rheumatology)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
550 UNIVERSITY BLVD, SUITE 4100
INDIANAPOLIS, IN 46202
Psychologist (Health)
550 UNIVERSITY BLVD, ROOM UH 3240
INDIANAPOLIS, IN 46202
Nurse Practitioner (Adult Health)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202

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 Nuguru's NPI number?

The NPI number for Shashank Nuguru is 1285987552. It was assigned to this individual provider in the NPPES registry on October 23, 2012.

Where is Shashank Nuguru located?

Shashank Nuguru practices at 550 University Blvd Uh 1501, Indianapolis, IN 46202. The listed phone number is (317) 948-1310.

What is Shashank Nuguru's specialty?

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

Is Shashank Nuguru enrolled in Medicare?

Yes. Shashank Nuguru 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 Shashank Nuguru accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Ambetter of Alabama and 2 other insurers list Shashank Nuguru 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 Nuguru affiliated with any hospitals?

According to CMS data, Shashank Nuguru is affiliated with Wellstar Kennestone Regional Medical Center and Wellstar Cobb Medical Center.

When was this NPI record last updated?

The NPPES record for Shashank Nuguru was last updated on January 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.