DR. NIKOLAI SHALYGIN M.D.
NPI 1366785644
Pediatrics - Neonatal-Perinatal Medicine in San Diego, CA

Active since April 04, 2013PECOS Enrolled
3020 CHILDRENS WAY, SAN DIEGO, CA 92123(858) 966-6764 Get Directions Write a Review

NPPES record last updated: July 12, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 12, 2019, Nov 10, 2016 (2 updates tracked since 2016).

About Dr. Nikolai Shalygin M.d. NPPES

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

DR. NIKOLAI SHALYGIN M.D. (NPI 1366785644) is an individual neonatal-perinatal medicine provider in San Diego, California, licensed in Idaho (M-14712) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1366785644
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. NIKOLAI SHALYGINCredential: M.D.
Location Address3020 CHILDRENS WAYSan Diego, CA 92123-4223
Mailing Address200 W. Arbor Drive, Mc 8774San Diego, CA 92103 · (619) 543-3650
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 4, 2013
Last NPPES UpdateJuly 12, 20192 updates tracked since enumeration
✔ NPI 1366785644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in ID · M-14712
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
3020 CHILDRENS WAY, San Diego, CA 92123

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nikolai Shalygin M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820377344
PECOS Enrollment IDI20260605002122
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 Reassignment

Medicare enrollment records show Nikolai Shalygin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine
915 HIGHLAND BLVD
Bozeman, MT 59715
  • Reassigned Medicare billing, Montana enrollment
  • 402 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.

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.

Pathology (Pediatric Pathology)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Physician Assistant
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Pediatrics (Pediatric Infectious Diseases)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Speech-Language Pathologist
3020 CHILDRENS WAY, MC5010
SAN DIEGO, CA 92123
Audiologist
3020 CHILDRENS WAY, MC 5010
SAN DIEGO, CA 92123
Pediatrics
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Pediatrics (Pediatric Emergency Medicine)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123
Nurse Practitioner (Pediatrics)
3020 CHILDRENS WAY
SAN DIEGO, CA 92123

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 Nikolai Shalygin's NPI number?

The NPI number for Nikolai Shalygin is 1366785644. It was assigned to this individual provider in the NPPES registry on April 4, 2013.

Where is Nikolai Shalygin located?

Nikolai Shalygin practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-6764.

What is Nikolai Shalygin's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Nikolai Shalygin enrolled in Medicare?

Yes. Nikolai Shalygin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nikolai Shalygin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikolai Shalygin reassigns Medicare benefits to Bozeman Health Deaconess Hospital (Bozeman, MT). The 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 Nikolai Shalygin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nikolai Shalygin accept?

Health plans from Blue Cross and Blue Shield of Montana list Nikolai Shalygin 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.

When was this NPI record last updated?

The NPPES record for Nikolai Shalygin was last updated on July 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.