Individual provider Active NPI

Malathi Shanmugam, MD

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1356509608
Registry record updated Nov 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C139910 Issued in CA
Practice address
8120 Timberlake Way Ste 108
Sacramento, CA 95823-5413
Phone
(916) 252-5000
NPI assigned
May 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 255306 NY
Family Medicine Physician 207Q00000X C139910 CA Primary

Addresses

Primary practice location

8120 Timberlake Way Ste 108
Sacramento, CA 95823-5413

Mailing address

8120 Timberlake Way Ste 108
Sacramento, CA 95823-5413
Phone (212) 300-6554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160628001828 CA Practitioner - Family Practice 9032259478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1600 Creekside Dr
Suite 3200
Folsom, CA 95630-3447
Phone (916) 252-5000

8120 Timberlake Way
Suite 108
Sacramento, CA 95823-5413
Phone (916) 252-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C139910CAMDFamily Medicine Physician
255306NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sac City MD Family Medicine CurrentSince Dec 1, 2020 Accepting new patients
Folsom City MD Family Medicine CurrentSince Dec 1, 2020 Accepting new patients
Dignity Community Care Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients

Locations

1600 Creekside Dr
Ste 3200
Folsom, CA 95630
Phone (916) 252-5000

8120 Timberlake Way
Ste 108
Sacramento, CA 95823
Phone (916) 252-5000

Interoperability endpoints

  • Direct secure messaging: mshanmugam11582@hpmg.direct-ci.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605312000000",
    "number": "1356509608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8120 TIMBERLAKE WAY STE 108",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235413",
            "telephone_number": "212-300-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 TIMBERLAKE WAY STE 108",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235413",
            "telephone_number": "916-252-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANMUGAM",
        "first_name": "MALATHI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2020-11-14",
        "certification_date": "2020-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "255306",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C139910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.