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SHAMINI MYLVAGANAM
NPI 1396133252
Obstetrics & Gynecology in Idaho Falls, ID

Active since December 30, 2014PECOS EnrolledAccepts Medicare Assignment
2990 CORTEZ AVE, IDAHO FALLS, ID 83404(208) 535-0440(208) 535-0550 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shamini Mylvaganam NPPES

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

SHAMINI MYLVAGANAM (NPI 1396133252) is an individual obstetrics & gynecology provider in Idaho Falls, Idaho, licensed in Idaho (8461173) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS, is affiliated with Mountain View Hospital, and is a graduate of Boston University School Of Medicine (2013).

NPPES Registry Identity

NPI1396133252
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSHAMINI MYLVAGANAM
Location Address2990 CORTEZ AVEIdaho Falls, ID 83404-7554
Mailing Address2990 Cortez AveIdaho Falls, ID 83404-7554 · (208) 535-0440 · Fax (208) 535-0550
Phone(208) 535-0440
Fax(208) 535-0550
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2013
Enumeration DateDecember 30, 2014
Last NPPES UpdateMarch 18, 2025
NPPES CertifiedMarch 18, 2025
✔ NPI 1396133252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in ID · 8461173✔ Licensed in NY · 277644
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2990 CORTEZ AVE, Idaho Falls, ID 83404
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, PacificSource Health Plans, Providence Health Plan and more.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

Shamini Mylvaganam 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 ID7113298670
PECOS Enrollment IDI20250324001944
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

5

Medicare enrollment records show Shamini Mylvaganam reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Monarch Healthcare PLLC
Same address
Obstetrics & Gynecology
2990 CORTEZ AVE
Idaho Falls, ID 83404
  • Reassigned Medicare billing, Idaho enrollment
  • 15 clinicians in this Medicare group
NPI 1346653862 (208) 535-0440
Women's Healthcare Associates, P.A.
0.1 mi
Obstetrics & Gynecology
2327 CORONADO ST
Idaho Falls, ID 83404
  • Reassigned Medicare billing, Idaho enrollment
  • 15 clinicians in this Medicare group
NPI 1255400636 (208) 557-2900
Advantagecare Physicians PC
1,942 mi
Internal Medicine
1050 CLOVE RD, UCC
Staten Island, NY 10301
  • Reassigned Medicare billing, New York enrollment
  • 724 clinicians in this Medicare group
NPI 1063954113 (646) 680-1525
Trustees Of Columbia University In The City Of New York
1,943 mi
Internal Medicine
400 KELBY ST, 8TH FLOOR CLINICAL REVENUE OFFICE
Fort Lee, NJ 07024
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1508266347 (New York)
  • 1,048 clinicians in this Medicare group
NPI 1982993184 (212) 304-6408
North Shore-Lij Medical PC
1,958 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 15

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

CATHERINE ANN PURSER NP
Nurse Practitioner (Family)
2990 CORTEZ AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 535-0440
DR. CHRISTOPHER J ALLPHIN M.D.
Obstetrics & Gynecology
2990 CORTEZ AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 535-0440
AMBER CHRISTENSEN
Physician Assistant
2990 CORTEZ AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 535-0440
MS. MARGARET C HUGGINS MD
Obstetrics & Gynecology
2990 CORTEZ AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 535-0440
CHELSEA BRIAN NP
Nurse Practitioner
2990 CORTEZ AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 535-0440
DR. LUKE WILLIAM O'ROURKE D.O.
Obstetrics & Gynecology
2990 CORTEZ AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 535-0440
MONARCH HEALTHCARE PLLC
Obstetrics & Gynecology
2990 CORTEZ AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 535-0440
HEIDI GREGERSEN FNP
Nurse Practitioner (Women's Health)
2990 CORTEZ AVE
IDAHO FALLS, ID 83404
Bonneville County (208) 535-0440

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 Shamini Mylvaganam's NPI number?

The NPI number for Shamini Mylvaganam is 1396133252. It was assigned to this individual provider in the NPPES registry on December 30, 2014.

Where is Shamini Mylvaganam located?

Shamini Mylvaganam practices at 2990 Cortez Ave, Idaho Falls, ID 83404. The listed phone number is (208) 535-0440.

What is Shamini Mylvaganam's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Shamini Mylvaganam enrolled in Medicare?

Yes. Shamini Mylvaganam 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 Shamini Mylvaganam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shamini Mylvaganam reassigns Medicare benefits to 5 organizations: Monarch Healthcare PLLC (Idaho Falls, ID), Women's Healthcare Associates, P.A. (Idaho Falls, ID), Advantagecare Physicians PC (Staten Island, NY), Trustees Of Columbia University In The City Of New York (Fort Lee, NJ) and North Shore-Lij Medical PC (Great Neck, NY). 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 Shamini Mylvaganam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shamini Mylvaganam accept?

Health plans from Molina Healthcare, PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list Shamini Mylvaganam 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 Shamini Mylvaganam affiliated with any hospitals?

According to CMS data, Shamini Mylvaganam is affiliated with Mountain View Hospital.

When was this NPI record last updated?

The NPPES record for Shamini Mylvaganam was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.