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SHANTI SENGAMALAM THIRUMALAI MD
NPI 1528155132
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Reno, NV

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment
97.4/100
CMS Quality Rating
75 PRINGLE WAY STE 505, RENO, NV 89502(757) 982-5437(775) 982-3971 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2025, Nov 23, 2025, Oct 4, 2024 and 1 more (4 updates tracked since 2018).

About Shanti Sengamalam Thirumalai Md NPPES

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

SHANTI SENGAMALAM THIRUMALAI MD (NPI 1528155132) is an individual neurology with special qualifications in child neurology provider in Reno, Nevada, licensed in Nevada (24452) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1528155132
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameSHANTI SENGAMALAM THIRUMALAICredential: MD
Location Address75 PRINGLE WAY STE 505Reno, NV 89502-1469
Mailing Address1155 Mill St # M14Reno, NV 89502-1576 · (775) 982-4590 · Fax (904) 539-4091
Phone(757) 982-5437
Fax(775) 982-3971
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateOctober 6, 2006
Last NPPES UpdateDecember 2, 20254 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1528155132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
Licenses✔ Licensed in NV · 24452✔ Licensed in IA · MD-37167✔ Licensed in WA · MD70047140
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPediatrics · Neurodevelopmental DisabilitiesTaxonomy 2080P0008X · License ME99791 (FL)
75 PRINGLE WAY STE 505, Reno, NV 89502
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12211 NE 139th StVancouver, WA 98686-2742 · Phone (360) 487-1000
Location 2330 Laurel St Ste 1200Des Moines, IA 50314-3044 · Phone (515) 643-6290

Other Identifiers 3

Other00A530600 L59CA · Cal Optima
Medicaid4948191MI
Medicaid00A530600CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Shanti Sengamalam Thirumalai 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 ID941267926
PECOS Enrollment IDI20070205000229, I20230822000781
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.

Areas of Expertise CMS Part B claims

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.

Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399
A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89502 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

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.

KELLY TUVESON DO
Pediatrics (Pediatric Pulmonology)
75 PRINGLE WAY STE 505
RENO, NV 89502
Washoe County (775) 982-5437
PETER R FENWICK, MD
Family Medicine
75 PRINGLE WAY STE 505
RENO, NV 89502
Washoe County (775) 786-7216
RENOWN MEDICAL SCHOOL ASSOCIATES NORTH, INC.
Pediatrics (Adolescent Medicine)
75 PRINGLE WAY STE 505
RENO, NV 89502
Washoe County (775) 982-5000
OLIVERA MARSENIC COULOURES MD
Pediatrics (Pediatric Nephrology)
75 PRINGLE WAY STE 505
RENO, NV 89502
Washoe County (775) 982-5437
MS. STACY ANNE BRISCOE M.S., R.D.
Nutritionist (Nutrition, Education)
75 PRINGLE WAY STE 505
RENO, NV 89502
Washoe County (775) 982-5262
ANA I ARIAS RAMIREZ CHW II
Community Health Worker
75 PRINGLE WAY STE 505
RENO, NV 89502
Washoe County (775) 982-5470
STEVEN A SHANE M.D.
Emergency Medicine (Pediatric Emergency Medicine)
75 PRINGLE WAY STE 505
RENO, NV 89502
Washoe County (775) 982-5437
KAREN GUTIERREZ-OROZCO RD
Dietitian, Registered
75 PRINGLE WAY STE 505
RENO, NV 89502
Washoe County (775) 982-5437

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 Shanti Thirumalai's NPI number?

The NPI number for Shanti Thirumalai is 1528155132. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Shanti Thirumalai located?

Shanti Thirumalai practices at 75 Pringle Way Ste 505, Reno, NV 89502. The listed phone number is (757) 982-5437.

What is Shanti Thirumalai's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Shanti Thirumalai enrolled in Medicare?

Yes. Shanti Thirumalai 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.

What insurance does Shanti Thirumalai accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Blue Cross and Blue Shield of Montana and 4 other insurers list Shanti Thirumalai 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.

When was this NPI record last updated?

The NPPES record for Shanti Thirumalai was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.