SHEILA SHANMUGAN
NPI 1639674252
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since March 26, 2018PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3400 SPRUCE ST, PHILADELPHIA, PA 19104(615) 429-1766 Get Directions Write a Review

NPPES record last updated: May 3, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 3, 2018, Mar 26, 2018 (2 updates tracked since 2018).

About Sheila Shanmugan NPPES

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

SHEILA SHANMUGAN (NPI 1639674252) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Syosset, and is a graduate of Pennsylvania State University College Of Medicine (2018).

NPPES Registry Identity

NPI1639674252
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHEILA SHANMUGAN
Location Address3400 SPRUCE STPhiladelphia, PA 19104-4238
Mailing Address3535 Market St Ste 200Philadelphia, PA 19104-3377 · (215) 746-7222
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2018
Enumeration DateMarch 26, 2018
Last NPPES UpdateMay 3, 20182 updates tracked since enumeration
NPI 1639674252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3400 SPRUCE ST, Philadelphia, PA 19104

Secondary Practice Location 1

Location 122 Roberta LnSyosset, NY 11791-5825 · Phone (615) 429-1766

Accepted 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

Sheila Shanmugan 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 ID4688052319
PECOS Enrollment IDI20220608000708
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 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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
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.

Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Anesthesiology (Critical Care Medicine)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104

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 Sheila Shanmugan's NPI number?

The NPI number for Sheila Shanmugan is 1639674252. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Sheila Shanmugan located?

Sheila Shanmugan practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (615) 429-1766.

What is Sheila Shanmugan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sheila Shanmugan enrolled in Medicare?

Yes. Sheila Shanmugan 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 Sheila Shanmugan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Sheila Shanmugan 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 Sheila Shanmugan was last updated on May 3, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.