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SHANGEETHA BALAKUMAR MD
NPI 1720116452
Family Medicine in Marietta, GA

Active since March 02, 2007PECOS Enrolled
280 COBB PKWY S STE 60, MARIETTA, GA 30060(678) 820-7373(415) 252-7176 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 20, 2024, Apr 8, 2020, Mar 11, 2020 and 2 more (5 updates tracked since 2016).

About Shangeetha Balakumar Md NPPES

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

SHANGEETHA BALAKUMAR MD (NPI 1720116452) is an individual family medicine provider in Marietta, Georgia, licensed in Georgia (83851) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains a secondary practice location in St Petersburg.

NPPES Registry Identity

NPI1720116452
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHANGEETHA BALAKUMARCredential: MD
Location Address280 COBB PKWY S STE 60Marietta, GA 30060-6531
Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · Fax (415) 252-7176
Phone(678) 820-7373
Fax(415) 252-7176
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMarch 2, 2007
Last NPPES UpdateApril 16, 20255 updates tracked since enumeration
NPPES CertifiedApril 16, 2025
✔ NPI 1720116452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 83851✔ Licensed in WA · MD61603067✔ Licensed in CO · DR.0073998✔ Licensed in SC · LL28993✔ Licensed in FL · ME105139
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
280 COBB PKWY S STE 60, Marietta, GA 30060
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Secondary Practice Location 1

Location 110051 5th St N Ste 200St Petersburg, FL 33702-2211 · Phone (727) 824-0780 · Fax (813) 514-8891

Other Identifiers 1

Medicaid002442900FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shangeetha Balakumar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527192053
PECOS Enrollment IDI20251117000398, I20260512003671
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 Reassignment

Medicare enrollment records show Shangeetha Balakumar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Atlas Oncology Provider PLLC
135 mi
Medical Oncology
120 19TH ST N STE 290
Birmingham, AL 35203
  • Reassigned Medicare billing, Alabama and Tennessee enrollments
  • Also billed through NPI 1548142102 (Tennessee)
NPI 1245181429 (203) 461-1446

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.

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.
181 services81 patients
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.
24 services22 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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

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
8 suppliers11 claims28 services$6.65 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 2

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

VARSHA NIRAV PATEL M.D.
Internal Medicine (Hospice and Palliative Medicine)
280 COBB PKWY S STE 60
MARIETTA, GA 30060
Cobb County (888) 405-6396
MODUPEOLA BRISIBE
Nurse Practitioner (Family)
280 COBB PKWY S STE 60
MARIETTA, GA 30060
Cobb County (888) 663-6331

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 Shangeetha Balakumar's NPI number?

The NPI number for Shangeetha Balakumar is 1720116452. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Where is Shangeetha Balakumar located?

Shangeetha Balakumar practices at 280 Cobb Pkwy S Ste 60, Marietta, GA 30060. The listed phone number is (678) 820-7373.

What is Shangeetha Balakumar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shangeetha Balakumar enrolled in Medicare?

Yes. Shangeetha Balakumar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shangeetha Balakumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shangeetha Balakumar reassigns Medicare benefits to Atlas Oncology Provider PLLC (Birmingham, AL). The 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 Shangeetha Balakumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Shangeetha Balakumar affiliated with any hospitals?

According to CMS data, Shangeetha Balakumar is affiliated with Wellstar Kennestone Regional Medical Center and Wellstar Cobb Medical Center.

When was this NPI record last updated?

The NPPES record for Shangeetha Balakumar was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.