GAJANTH SHANMUGANATHA D.O.
NPI 1568835692
Hospitalist in Scottsdale, AZ

Active since November 11, 2015PECOS EnrolledAccepts Medicare Assignment
70.3/100
CMS Quality Rating
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259(480) 301-8000 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 5, 2025, Jun 11, 2025, May 8, 2025 and 2 more (5 updates tracked since 2015).

About Gajanth Shanmuganatha D.o. NPPES

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

GAJANTH SHANMUGANATHA D.O. (NPI 1568835692) is an individual hospitalist provider in Scottsdale, Arizona, licensed in Arizona (006923) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Corpus Christi, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1568835692
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameGAJANTH SHANMUGANATHACredential: D.O.
Location Address13400 E SHEA BLVDScottsdale, AZ 85259-5499
Mailing Address1701 Ennis Joslin Rd Apt 934Corpus Christi, TX 78412-4381 · (661) 992-1955
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 11, 2015
Last NPPES UpdateAugust 5, 20255 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1568835692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in AZ · 006923
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License BP10046977 (TX), 006923 (AZ)
13400 E SHEA BLVD, Scottsdale, AZ 85259

Secondary Practice Location 1

Location 17101 S Padre Island DrCorpus Christi, TX 78412-4913 · Phone (361) 761-3540

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

Gajanth Shanmuganatha D.o. 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 ID8123319282
PECOS Enrollment IDI20160620002442
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

4

Medicare enrollment records show Gajanth Shanmuganatha reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
13400 E SHEA BLVD
Scottsdale, AZ 85259
  • Reassigned Medicare billing, Arizona enrollment
  • 1,792 clinicians in this Medicare group
Multi-Specialty
1900 N HIGLEY RD
Gilbert, AZ 85234
  • Reassigned Medicare billing, Arizona enrollment
  • 1,081 clinicians in this Medicare group
Oncology
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 470 clinicians in this Medicare group
Hospitalist
19829 N 27TH AVE
Phoenix, AZ 85027
  • Reassigned Medicare billing, Arizona enrollment
  • 99 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 3

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 moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
405 services392 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
42 services41 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85259 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

70.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality40.27
Improvement Activities40
Cost71.99

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.

Internal Medicine (Hematology & Oncology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Internal Medicine (Critical Care Medicine)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Internal Medicine (Pulmonary Disease)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Urology
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Nurse Anesthetist, Certified Registered
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Nurse Anesthetist, Certified Registered
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Radiology (Diagnostic Radiology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Radiology (Diagnostic Radiology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259

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 Gajanth Shanmuganatha's NPI number?

The NPI number for Gajanth Shanmuganatha is 1568835692. It was assigned to this individual provider in the NPPES registry on November 11, 2015.

Where is Gajanth Shanmuganatha located?

Gajanth Shanmuganatha practices at 13400 E Shea Blvd, Scottsdale, AZ 85259. The listed phone number is (480) 301-8000.

What is Gajanth Shanmuganatha's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Gajanth Shanmuganatha enrolled in Medicare?

Yes. Gajanth Shanmuganatha 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 Gajanth Shanmuganatha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gajanth Shanmuganatha reassigns Medicare benefits to 4 organizations: Mayo Clinic Arizona (Scottsdale, AZ), Banner Hospital Based Physicians Arizona LLC (Gilbert, AZ), Banner Cancer Center Specialists LLC (Phoenix, AZ) and Vituity - Arizona Hospitalists PC (Phoenix, AZ). 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 Gajanth Shanmuganatha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gajanth Shanmuganatha was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.