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DR. SASIKALA THIRUMAZHISAI SHANMUGAM M.D.
NPI 1699736868
Internal Medicine in Lima, OH

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment
920 W MARKET ST, SUITE 210, LIMA, OH 45805(419) 229-3362(419) 229-8258 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sasikala Thirumazhisai Shanmugam M.d. NPPES

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

DR. SASIKALA THIRUMAZHISAI SHANMUGAM M.D. (NPI 1699736868) is an individual internal medicine provider in Lima, Ohio, licensed in Ohio (35078191) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Mercy Health-st Rita's Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1699736868
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SASIKALA THIRUMAZHISAI SHANMUGAMCredential: M.D.
Location Address920 W MARKET ST, SUITE 210Lima, OH 45805-2773
Mailing Address920 W Market St, Suite 210Lima, OH 45805-2773 · (419) 229-3362 · Fax (419) 229-8258
Phone(419) 229-3362
Fax(419) 229-8258
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateMarch 29, 2006
Last NPPES UpdateNovember 2, 2023
NPPES CertifiedNovember 2, 2023
✔ NPI 1699736868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35078191
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
920 W MARKET ST, Lima, OH 45805
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Other Identifiers 1

Medicaid2189877OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare 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

Dr. Sasikala Thirumazhisai Shanmugam M.d. 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 ID648261867
PECOS Enrollment IDI20040518001098
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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
57 services45 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
15 services12 patients
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.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45805 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers26 claims56 services$6.36 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers14 claims16 services$1.06 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers18 claims18 services$90.72 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$33.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INTERNAL MEDICINE SPECIALTIES INC
Internal Medicine
920 W MARKET ST, SUITE 210
LIMA, OH 45805
Allen County (419) 229-3362
JADE LIGHTFOOT RN, CNP
Nurse Practitioner (Family)
920 W MARKET ST
LIMA, OH 45805
Allen County (419) 229-3362
RAMAN K. TALWAR, MD, INC
Surgery
920 W MARKET ST, SUITE 310
LIMA, OH 45805
Allen County (419) 224-5888
ADVANTAGE CARDIOLOGY INC
Internal Medicine (Cardiovascular Disease)
920 W MARKET ST, SUITE 330
LIMA, OH 45805
Allen County (419) 222-1100
CONTINUED CARE, INC.
Home Health
920 W MARKET ST, SUITE 202
LIMA, OH 45805
Allen County (412) 222-2273
DR. CONNIE S INGALLS M.D.
Family Medicine
920 W MARKET ST, SUITE 210
LIMA, OH 45805
Allen County (419) 227-7770

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 Sasikala Shanmugam's NPI number?

The NPI number for Sasikala Shanmugam is 1699736868. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Sasikala Shanmugam located?

Sasikala Shanmugam practices at 920 W Market St Suite 210, Lima, OH 45805. The listed phone number is (419) 229-3362.

What is Sasikala Shanmugam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sasikala Shanmugam enrolled in Medicare?

Yes. Sasikala 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.

What insurance does Sasikala Shanmugam accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare and UnitedHealthcare list Sasikala Shanmugam 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.

Is Sasikala Shanmugam affiliated with any hospitals?

According to CMS data, Sasikala Shanmugam is affiliated with Mercy Health-St Rita's Medical Center.

When was this NPI record last updated?

The NPPES record for Sasikala Shanmugam was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.