Individual provider Active NPI

Shashank Ponugoti, MD

  • Internal Medicine Physician
  • Morgantown, WV
National Provider Identifier
1205085651
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23711 Issued in WV
Practice address
1 Medical Center Drive
Morgantown, WV 26505
Phone
(304) 293-1964
NPI assigned
Sep 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 53981 TN
Internal Medicine Physician 207R00000X 23711 WV Primary

Addresses

Primary practice location

1 Medical Center Drive
Morgantown, WV 26505

Mailing address

PO Box 88
White Sulphur Springs, WV 24986-0088
Phone (304) 536-5030

Other identifiers 7

IdentifierTypeStateIssuer
000000276995OtherWVOH UNISON
0817345OtherWVCIGNA
1072968OtherWVCARELINK/COVENTRY
613154600OtherWVBLACK LUNG/FECA
3810015455MedicaidWV
7100084200MedicaidKY
2969328MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140827002184 PA Practitioner - Internal Medicine 6103963319 Reassigns benefits to 1 organization
I20160506001499 TN Practitioner - Internal Medicine 6103963319 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of TN LLCGroup PAC ID 2365807633, 266 clinicians
Williamson Hospitalist ProgramGroup PAC ID 0042553158, 42 clinicians

Practice addresses (Care Compare)

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000

4321 Carothers Pkwy
Franklin, TN 37067-5909
Phone (615) 495-6700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23711WVMDInternal Medicine Physician
53981TNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maury Regional Medical Group, Inc Internal Medicine CurrentSince Dec 15, 2024 Accepting new patients
West Tennessee Healthcare Hospitalists Inc Hospitalist CurrentSince Feb 1, 2025 Accepting new patients
Maury Regional Hospital Marshall Medical Center CurrentSince Dec 15, 2024 Accepting new patients
Hospital Medicine Services of TN, LLC Hospitalist CurrentSince Apr 1, 2023 Accepting new patients
Psynergy Health Med PLLC CurrentSince Jul 1, 2025 Accepting new patients
Williamson Hospitalist Program Hospitalist CurrentSince Dec 1, 2024 Accepting new patients
St. Mary'S Medical Management Highlawn Lab Past Accepting new patients

Locations

4901 Vineland Rd
Ste 350
Orlando, FL 32811
Phone (407) 469-5088

812 N Prince St
Lancaster, PA 17603
Phone (717) 509-9845

1224 Trotwood Ave
Columbia, TN 38401
Phone (931) 380-4072

854 W James M Campbell Blvd
Ste 303
Columbia, TN 38401
Phone (931) 388-8779

4321 Carothers Pkwy
Franklin, TN 37067
Phone (615) 435-5000

5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

116 Agnes Rd
#200
Knoxville, TN 37919
Phone (800) 563-8156

2300 Patterson St
#M
Nashville, TN 37203

Organizations & group practices 7

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 3

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": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1205085651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249860088",
            "telephone_number": "304-536-5030",
            "fax_number": "304-536-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DRIVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26505",
            "telephone_number": "304-293-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONUGOTI",
        "first_name": "SHASHANK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-10",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "53981",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "23711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH UNISON",
            "identifier": "000000276995",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0817345",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARELINK/COVENTRY",
            "identifier": "1072968",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG/FECA",
            "identifier": "613154600",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810015455",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100084200",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2969328",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.