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DR. SITARA SHANMUGAM PSYD
NPI 1699520866
Clinical Neuropsychologist in Elkins Park, PA

Active since April 22, 2024PECOS EnrolledAccepts Medicare Assignment
60 TOWNSHIP LINE RD, ELKINS PARK, PA 19027(215) 663-6362(215) 663-6234 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 31, 2026, Mar 12, 2026, May 3, 2024 and 1 more (4 updates tracked since 2024).

About Dr. Sitara Shanmugam Psyd NPPES

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

DR. SITARA SHANMUGAM PSYD (NPI 1699520866) is an individual clinical neuropsychologist in Elkins Park, Pennsylvania, licensed in Pennsylvania (PS019849) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Philadelphia College Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1699520866
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. SITARA SHANMUGAMCredential: PSYD
Location Address60 TOWNSHIP LINE RDElkins Park, PA 19027-2220
Mailing Address60 Township Line RdElkins Park, PA 19027-2220
Phone(215) 663-6362
Fax(215) 663-6234
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2020
Enumeration DateApril 22, 2024
Last NPPES UpdateMarch 31, 20264 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1699520866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in PA · PS019849
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PS019849 (PA)
60 TOWNSHIP LINE RD, Elkins Park, PA 19027
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Secondary Practice Location 1

Location 1255 S 17th StPhiladelphia, PA 19103-6231 · Phone (610) 892-3800

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

Dr. Sitara Shanmugam Psyd 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 ID7618318114
PECOS Enrollment IDI20240515002311
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

2

Medicare enrollment records show Sitara Shanmugam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Albert Einstein Medical Center
3.3 mi
Psychologist
1200 W TABOR RD
Phila, PA 19141
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 5 clinicians in this Medicare group
NPI 1609832286 (215) 456-9020
Delaware County Professional Services, Inc
21 mi
Psychiatry
1055 E BALTIMORE PIKE STE 303
Media, PA 19063
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 353 clinicians in this Medicare group
NPI 1952485864 (610) 892-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MARNIE SUE NUTKOWITZ PSYD
Clinical Neuropsychologist
60 TOWNSHIP LINE RD, MOSS REHAB
ELKINS PARK, PA 19027
Montgomery County (215) 663-6000
MR. DAVID LOUIS WALLER JR. PA-C
Physician Assistant (Surgical)
60 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
Montgomery County (215) 663-6800
AMBRIA REID
Nurse Anesthetist, Certified Registered
60 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
Montgomery County (215) 663-6000
AMELIA NI
Physical Medicine & Rehabilitation
60 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
Montgomery County (215) 587-3000
NV CAPITAL CARE PLLC
Internal Medicine
60 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
Montgomery County (516) 304-0415
DR. MICHELLE SISSON PH.D.
Clinical Neuropsychologist
60 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
Montgomery County (215) 663-6043
YI ZHOU MD
Physical Medicine & Rehabilitation
60 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
Montgomery County (215) 663-6677
KELLY ANNE TIERNEY DPT
Physical Therapist
60 TOWNSHIP LINE RD
ELKINS PARK, PA 19027
Montgomery County (215) 663-6000

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 Sitara Shanmugam's NPI number?

The NPI number for Sitara Shanmugam is 1699520866. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Where is Sitara Shanmugam located?

Sitara Shanmugam practices at 60 Township Line Rd, Elkins Park, PA 19027. The listed phone number is (215) 663-6362.

What is Sitara Shanmugam's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Sitara Shanmugam enrolled in Medicare?

Yes. Sitara Shanmugam 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 Sitara Shanmugam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sitara Shanmugam reassigns Medicare benefits to 2 organizations: Albert Einstein Medical Center (Phila, PA) and Delaware County Professional Services, Inc (Media, PA). 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 Sitara Shanmugam'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 Sitara Shanmugam was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.