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

Q: 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.

Q: What is Shamini Mylvaganam's specialty?

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

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: August 09, 2026.

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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 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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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)