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

Q: 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.

Q: What is Gajanth Shanmuganatha's specialty?

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

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: August 09, 2026.

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

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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

Phone(480) 301-8000

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

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc..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

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.

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

Quality

40.27

Improvement Activities

Cost

71.99

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.

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