Individual provider Active NPI

Nirmala Shanmugam, MD

  • Gastroenterology Physician
  • Lake Worth, FL
National Provider Identifier
1083678502
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME76143 Issued in FL
Practice address
6944 Lake Worth Rd
2ND Floor
Lake Worth, FL 33467-2948
Phone
(561) 434-0060
Fax
(561) 434-4618
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME76143 FL Primary

Addresses

Primary practice location

6944 Lake Worth Rd
2ND Floor
Lake Worth, FL 33467-2948

Mailing address

PO Box 740177
Boynton Beach, FL 33474-0177
Phone (561) 740-2900

Other identifiers 1

IdentifierTypeStateIssuer
264080500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20050707000309 FL Practitioner - Gastroenterology 8022054469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastro Health, LLCGroup PAC ID 2365440567, 246 clinicians

Practice addresses (Care Compare)

1002 S Old Dixie Hwy
Suite 201
Jupiter, FL 33458-7202
Phone (561) 744-2200

1117 N Olive Ave
Suite 203
West Palm Beach, FL 33401-3520
Phone (561) 802-9050

1157 S State Rd
Suite 7
Wellington, FL 33414-6101
Phone (561) 214-6699

2800 S Seacrest Blvd
Suite 240
Boynton Beach, FL 33435-7946
Phone (561) 732-2900

3661 S Miami Ave
Miami, FL 33133-4214
Phone (305) 856-7333

4675 Linton Blvd
Delray Beach, FL 33445-6615

6135 Lake Worth Rd
Suite 100
Greenacres, FL 33463-3074
Phone (561) 434-0060

Hospital & facility affiliations

  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

Merit-based Incentive Payment System (MIPS)

Final score
82.04 of 100Reported as group
Quality
65.4
Promoting interoperability
98
Improvement activities
40
Cost
76.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy51
Upper gastrointestinal (GI) endoscopy for acid reflux64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME76143FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health, LLC Gastroenterology CurrentSince Sep 1, 2018 Accepting new patients
Gastro Health LLC Gastroenterology CurrentSince Sep 1, 2018 Accepting new patients

Locations

7270 W Boynton Beach Blvd
Ste 102
Boynton Beach, FL 33437
Phone (561) 738-5772

7270 W Boynton Beach Blvd
Boynton Beach, FL 33437
Phone (561) 738-5772

4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700

6944 Lake Worth Rd
Fl 2
Lake Worth, FL 33467

3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333

7500 SW 87th Ave
Ste 200
Miami, FL 33173
Phone (305) 666-1333

1157 S State Road 7
Wellington, FL 33414
Phone (561) 214-6094

Interoperability endpoints

  • Direct secure messaging: nirmala.shanmugam@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 2

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1083678502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740177",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334740177",
            "telephone_number": "561-740-2900",
            "fax_number": "561-434-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6944 LAKE WORTH RD",
            "address_2": "2ND FLOOR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672948",
            "telephone_number": "561-434-0060",
            "fax_number": "561-434-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANMUGAM",
        "first_name": "NIRMALA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME76143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264080500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.