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

Q: 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.

Q: What is Nikolai Shalygin's specialty?

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

Q: 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.

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: August 02, 2026.

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

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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

Phone(858) 966-6764

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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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. NATALIE E. ELLINGTON MD

Pathology (Pediatric Pathology)

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-5944

SHANNA MICHAEL MILLER-NABAS RDN

Physician Assistant

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 576-1700

DR. ADRIANA HERRERA TREMOULET M.D.

Pediatrics (Pediatric Infectious Diseases)

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-7785

LORI MCCURDY M.S., CCC-SLP

Speech-Language Pathologist

3020 CHILDRENS WAY, MC5010
SAN DIEGO, CA 92123

San Diego County (858) 968-5838

MS. ANN M SUMIDA-JOHNSON M.A..

Audiologist

3020 CHILDRENS WAY, MC 5010
SAN DIEGO, CA 92123

San Diego County (858) 966-5838

RICHARD JOHN NEWTON M.D.

Pediatrics

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-8036

DR. SHAHFAR KHAN M.D.

Pediatrics (Pediatric Emergency Medicine)

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-8800

CARLY BETH WELCH CPNP-AC

Nurse Practitioner (Pediatrics)

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-8800

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.

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.