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DR. AIYANADAR SHANMUGAM M.D F.A.C.E, F.A.C.E
NPI 1386659811
Specialist in College Station, TX

Active since July 31, 2006PECOS Enrolled
1602 ROCK PRAIRIE RD, SUITE 210, COLLEGE STATION, TX 77845(979) 696-5663(979) 693-1274 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Aiyanadar Shanmugam M.d F.a.c.e, F.a.c.e NPPES

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

DR. AIYANADAR SHANMUGAM M.D F.A.C.E, F.A.C.E (NPI 1386659811) is an individual specialist in College Station, Texas, licensed in Texas (74-2273494) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386659811
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. AIYANADAR SHANMUGAMCredential: M.D F.A.C.E, F.A.C.E
Location Address1602 ROCK PRAIRIE RD, SUITE 210College Station, TX 77845-8306
Mailing Address1602 Rock Prairie Rd, Suite 210College Station, TX 77845-8306 · (979) 696-5663 · Fax (979) 693-1274
Phone(979) 696-5663
Fax(979) 693-1274
Sole ProprietorYes
Enumeration DateJuly 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1386659811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · 74-2273494
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1602 ROCK PRAIRIE RD, College Station, TX 77845
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Other Identifiers 4

Other00AQ85TX · Blue Cross Blue Shield
Medicare UPINB26376TX
Medicare ID-Type Unspecified00AQ85TX
Medicaid110539701TX

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. Aiyanadar Shanmugam M.d F.a.c.e, F.a.c.e is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

KENNETH E MATTHEWS MD
Pediatrics
1602 ROCK PRAIRIE RD, SUITE 340
COLLEGE STATION, TX 77845
Brazos County (979) 696-4440
DR. GARY LAMBERT MD
Family Medicine
1602 ROCK PRAIRIE RD, STE. 1100
COLLEGE STATION, TX 77845
Brazos County (979) 693-2586
JOSEPH JASON ROMAN MD
Internal Medicine
1602 ROCK PRAIRIE RD, SUITE 4880
COLLEGE STATION, TX 77845
Brazos County (979) 796-1111
DR. ANGELETTA L BROWN M.D.
Plastic Surgery
1602 ROCK PRAIRIE RD, SUITE #3300
COLLEGE STATION, TX 77845
Brazos County (979) 693-8100
JASON M. WEAVER, MD, PA
Dermatology
1602 ROCK PRAIRIE RD, SUITE 3400
COLLEGE STATION, TX 77845
Brazos County (409) 939-1618
DR. NATRAJ AIYAPPAN SHANMUGAM M.D.
Internal Medicine
1602 ROCK PRAIRIE RD, SUITE 210
COLLEGE STATION, TX 77845
Brazos County (979) 696-5663
DR. KELLY INGRID SULLIVAN MD
Pediatrics
1602 ROCK PRAIRIE RD, SUITE 340
COLLEGE STATION, TX 77845
Brazos County (979) 696-4440
REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC
Internal Medicine
1602 ROCK PRAIRIE RD, STE 460
COLLEGE STATION, TX 77845
Brazos County (979) 696-0267

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 Aiyanadar Shanmugam's NPI number?

The NPI number for Aiyanadar Shanmugam is 1386659811. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Aiyanadar Shanmugam located?

Aiyanadar Shanmugam practices at 1602 Rock Prairie Rd Suite 210, College Station, TX 77845. The listed phone number is (979) 696-5663.

What is Aiyanadar Shanmugam's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Aiyanadar Shanmugam enrolled in Medicare?

Yes. Aiyanadar Shanmugam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Aiyanadar Shanmugam was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.