DR. SOUMYA SHIVASHANKAR MD
NPI 1881155588
Internal Medicine in Augusta, GA

Q: What is Soumya Shivashankar's NPI number?

The NPI number for Soumya Shivashankar is 1881155588. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Q: What is Soumya Shivashankar's specialty?

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

Active since March 26, 2019PECOS EnrolledAccepts Medicare Assignment

1350 WALTON WAY, AUGUSTA, GA 30901(706) 774-5795 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Soumya Shivashankar Md NPPES

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

DR. SOUMYA SHIVASHANKAR MD (NPI 1881155588) is an individual internal medicine provider in Augusta, Georgia, licensed in Georgia (97356) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1881155588

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. SOUMYA SHIVASHANKARCredential: MD

Location Address1350 WALTON WAYAugusta, GA 30901-2612

Mailing Address1350 Walton WayAugusta, GA 30901-2612

Phone(706) 774-5795

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateMarch 26, 2019

Last NPPES UpdateMay 23, 2024

NPPES CertifiedMay 23, 2024

✔ NPI 1881155588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in GA · 97356✔ Licensed in MI · 4301508296

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.

Also ListedHospitalistTaxonomy 208M00000X · License 97356 (GA)

1350 WALTON WAY, Augusta, GA 30901

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Secondary Practice Location 1

Location 1111 E 210th StBronx, NY 10467-2401 · Phone (718) 920-9168 · Fax (718) 920-9036

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Priority Health.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. Soumya Shivashankar Md 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 ID1951771245

PECOS Enrollment IDI20240411002357

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

295 services107 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

79 services78 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.

62 services32 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.

20 services20 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.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110028

Location1350 Walton WayAugusta, GA 30901 · Richmond County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

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.

ENOCH BUSULWA LULE M.D.

Internal Medicine

1350 WALTON WAY
AUGUSTA, GA 30901

Richmond County (706) 774-5542

DR. MARY TANEOUS MD

Pathology (Anatomic Pathology & Clinical Pathology)

1350 WALTON WAY
AUGUSTA, GA 30901

Richmond County (706) 774-5400

PRIYA DHARSHINI RAVINDRAN MD

Internal Medicine (Gastroenterology)

1350 WALTON WAY
AUGUSTA, GA 30901

Richmond County (706) 774-5795

DR. KAILASH B SHARMA MD

Pathology (Anatomic Pathology & Clinical Pathology)

1350 WALTON WAY
AUGUSTA, GA 30901

Richmond County (706) 774-5400

MICHEL TANIOS M.D.

Internal Medicine

1350 WALTON WAY, HOSPITALISTS
AUGUSTA, GA 30901

Richmond County (706) 774-7263

FLYNT STEBBINS CONNOR M.S., CCC-SLP

Speech-Language Pathologist

1350 WALTON WAY
AUGUSTA, GA 30901

Richmond County (706) 774-2166

LAURA ENZ

Speech-Language Pathologist

1350 WALTON WAY
AUGUSTA, GA 30901

Richmond County (706) 774-2166

CANDACE M CURTIS MD

Anesthesiology

1350 WALTON WAY
AUGUSTA, GA 30901

Richmond County (706) 737-6950

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 Soumya Shivashankar's NPI number?

The NPI number for Soumya Shivashankar is 1881155588. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Soumya Shivashankar located?

Soumya Shivashankar practices at 1350 Walton Way, Augusta, GA 30901. The listed phone number is (706) 774-5795.

What is Soumya Shivashankar's specialty?

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

Is Soumya Shivashankar enrolled in Medicare?

Yes. Soumya Shivashankar 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 Soumya Shivashankar accept?

Health plans from Alliant Health Plans, Inc. and Priority Health list Soumya Shivashankar 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 Soumya Shivashankar affiliated with any hospitals?

According to CMS data, Soumya Shivashankar is affiliated with Piedmont Augusta Hospital.

When was this NPI record last updated?

The NPPES record for Soumya Shivashankar was last updated on May 23, 2024. 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.