Natraj Aiyappan Shanmugam, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

P8538 Issued in TX

Practice address

1602 Rock Prairie Rd
Suite 210
College Station, TX 77845-8306

Phone

(979) 696-5663

Fax

(979) 694-1319

NPI assigned

Jul 7, 2009

Last updated

Feb 24, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI St Joseph Health Regional Hospital Hospital, Bryan, TX, CCN 450011

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Natraj Shanmugam MD PA

  • Internal Medicine Physician
  • College Station, TX
  • NPI 1700338068
  Medicare reassignment NPD Authorized official
• Su Clinica Familiar

  • Federally Qualified Health Center (FQHC)
  • Harlingen, TX
  • NPI 1285643304
  Medicare reassignment NPD
• A.Shanmugam M.D

  • Endocrinology, Diabetes & Metabolism Physician
  • College Station, TX
  • NPI 1508226234
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Joseph Regional Health Center

  • General Acute Care Hospital
  • Bryan, TX
  • NPI 1942294939
  Care Compare affiliation
• St. Joseph Regional Health Center

  dba CHI St. Joseph Health College Station Hospital

  • General Acute Care Hospital
  • College Station, TX
  • NPI 1053963009
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1043449465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE RD",
            "address_2": "SUITE 210",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458306",
            "telephone_number": "979-696-5663",
            "fax_number": "979-694-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE RD",
            "address_2": "SUITE 210",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458306",
            "telephone_number": "979-696-5663",
            "fax_number": "979-694-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANMUGAM",
        "first_name": "NATRAJ",
        "middle_name": "AIYAPPAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P8538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "P8538",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judson Malcome Severson, D.O.
• Rebecca Shanesmith, M.D.
• Aiyanadar Shanmugam, M.D F.A.C.E, F.A.C.E
• Deepal Shanmugam, FNP
• Ganesh Shanmugam, MD
• Shanna L. Williams DDS, PA
• Nicole Laraye Sharp, LPC
• Elle Shaw
• Roberta Dronen Sheffield, LPC
• Troy William Sheide, PSYD

• Internal Medicine Physician in College Station, TX
• Providers in College Station, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.