DR. SANTOSH SHANMUGA MD
NPI 1386146769
Urology in Fort Moore, GA

Active since March 01, 2018PECOS EnrolledAccepts Medicare Assignment
6600 VAN AALST BLVD, FORT MOORE, GA 31905(762) 408-3566 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 26, 2026, Jan 14, 2026, Apr 22, 2024 and 2 more (5 updates tracked since 2018).

About Dr. Santosh Shanmuga Md NPPES

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

DR. SANTOSH SHANMUGA MD (NPI 1386146769) is an individual urology provider in Fort Moore, Georgia, licensed in Georgia (103003) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Phoebe Putney Memorial Hospital, and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1386146769
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. SANTOSH SHANMUGACredential: MD
Location Address6600 VAN AALST BLVDFort Moore, GA 31905-2102
Mailing Address6600 Van Aalst BlvdFort Benning, GA 31905-2102 · (762) 408-3657
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 1, 2018
Last NPPES UpdateAugust 26, 20265 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1386146769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in GA · 103003✔ Licensed in VA · 0101269085
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
6600 VAN AALST BLVD, Fort Moore, GA 31905

Secondary Practice Location 1

Location 1743 Spring St NEGainesville, GA 30501-3715 · Phone (770) 219-9000

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. Santosh Shanmuga 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 ID8527413442
PECOS Enrollment IDI20250224000553
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

3

Medicare enrollment records show Santosh Shanmuga reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
2740 RAY KNIGHT WAY, STE 100
Albany, GA 31707
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Physician Group Inc
  • 1,118 clinicians in this Medicare group
Internal Medicine
3885 PRINCETON LAKES WAY SW, SUITE 300
Atlanta, GA 30331
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
Family Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 1,172 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 4

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
36 services35 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
34 services22 patients
Imaging of urinary tract following injection of a contrast agent 74420
This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.
21 services21 patients
Insertion of stent in ureter using an endoscope 52332
This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Phoebe Putney Memorial Hospital

Acute Care Hospitals · Albany, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110007
Location417 Third AvenueAlbany, GA 31703 · Dougherty County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31905 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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 20

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

Family Medicine
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Surgery
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Hospitalist
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Nurse Anesthetist, Certified Registered
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Family Medicine
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Emergency Medicine
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Nurse Anesthetist, Certified Registered
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Family Medicine (Sleep Medicine)
6600 VAN AALST BLVD
FORT BENNING, GA 31905

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 Santosh Shanmuga's NPI number?

The NPI number for Santosh Shanmuga is 1386146769. It was assigned to this individual provider in the NPPES registry on March 1, 2018.

Where is Santosh Shanmuga located?

Santosh Shanmuga practices at 6600 Van Aalst Blvd, Fort Moore, GA 31905. The listed phone number is (762) 408-3566.

What is Santosh Shanmuga's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Santosh Shanmuga enrolled in Medicare?

Yes. Santosh Shanmuga 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 Santosh Shanmuga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Santosh Shanmuga reassigns Medicare benefits to 3 organizations: Phoebe Gastroenterology Associates (Albany, GA), Wellstar Medical Group, LLC (Atlanta, GA) and Northeast Georgia Physicians Group Inc (Gainesville, GA). 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 Santosh Shanmuga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Santosh Shanmuga accept?

Health plans from Alliant Health Plans, Inc. and Oscar Health list Santosh Shanmuga 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 Santosh Shanmuga affiliated with any hospitals?

According to CMS data, Santosh Shanmuga is affiliated with Phoebe Putney Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Santosh Shanmuga was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.