Individual provider Active NPI

Shanti Sengamalam Thirumalai, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Reno, NV
National Provider Identifier
1528155132
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
24452 Issued in NV
Practice address
75 Pringle Way Ste 505
Reno, NV 89502-1469
Phone
(757) 982-5437
Fax
(775) 982-3971
NPI assigned
Oct 6, 2006
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X ME99791 FL
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X MD70047140 WA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X MD-37167 IA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 24452 NV Primary

Addresses

Primary practice location

75 Pringle Way Ste 505
Reno, NV 89502-1469

Mailing address

1155 Mill St # M14
Reno, NV 89502-1576
Phone (775) 982-4590

Other practice location 1

2211 NE 139th St
Vancouver, WA 98686-2742
Phone (360) 487-1000

Other practice location 2

330 Laurel St Ste 1200
Des Moines, IA 50314-3044
Phone (515) 643-6290

Other identifiers 3

IdentifierTypeStateIssuer
4948191MedicaidMI
00A530600MedicaidCA
00A530600 L59OtherCACAL OPTIMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX, MS, KY, NY, FL, CO, IN, NM, WA, IA, OR12 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 12

Enrollment IDStateProvider typePAC IDDetails
I20070205000229 MI Practitioner - Neurology 0941267926 Reassigns benefits to 2 organizations
I20200326000664 TX Practitioner - Neurology 0941267926
I20220107000172 MS Practitioner - NeurologyPractitioner - Sleep Medicine 0941267926 Reassigns benefits to 3 organizations
I20230822000781 KY Practitioner - Sleep Medicine 0941267926 Reassigns benefits to 2 organizations
I20231110002437 NY Practitioner - Neurology 0941267926
I20231218001561 FL Practitioner - Neurology 0941267926 Reassigns benefits to 1 organization
I20250314000809 CO Practitioner - Psychiatry 0941267926 Reassigns benefits to 1 organization
I20250610001519 IN Practitioner - Neurology 0941267926 Reassigns benefits to 1 organization
I20251105003303 NM Practitioner - Neurology 0941267926 Reassigns benefits to 1 organization
I20251217002814 WA Practitioner - Neurology 0941267926 Reassigns benefits to 1 organization
I20260112003174 IA Practitioner - Neurology 0941267926 Reassigns benefits to 1 organization
I20260115003502 OR Practitioner - Neurology 0941267926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Emanuel Hospital and Health CenterGroup PAC ID 4587573639, shared by 5 NPIs, 235 clinicians

Practice addresses (Care Compare)

200 Medical Ctr Dr
Hazard, KY 41701-9466
Phone (606) 487-7510

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-8258

321 Montgomery Ave
Ann Arbor, MI 48103-4114
Phone (606) 487-7955

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME99791FLMDPediatric Neurodevelopmental Disabilities Physician
MD-37167IAMDNeurology with Special Qualifications in Child Neurology Physician
24452NVMDNeurology with Special Qualifications in Child Neurology Physician
MD70047140WAMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Cumberland County Hospital Association Inc CurrentSince Nov 1, 2023 Accepting new patients
Mercy Clinics, Inc Neurodevelopmental Disabilities CurrentSince Nov 9, 2025 Accepting new patients
Arnot Ogden Medical Center CurrentSince Sep 30, 2023 Accepting new patients
Magnolia Regional Health Center CurrentSince Jun 11, 2024 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Nov 13, 2023 Accepting new patients
Yalobusha General Hospital CurrentSince Nov 1, 2021 Accepting new patients
Appalachian Regional Healthcare, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Dec 2, 2025 Accepting new patients
Yalobusha General Hospital CurrentSince Nov 1, 2021 Accepting new patients
Sacred Heart Health System Inc CurrentSince Nov 13, 2023 Accepting new patients
Cumberland County Hospital Association Inc CurrentSince Nov 1, 2023 Accepting new patients
Union Hospital, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Obstetrix Medical Group of Colorado P C CurrentSince Feb 1, 2025 Accepting new patients
Mercy Clinics, Inc. CurrentSince Nov 9, 2025 Accepting new patients
Magnolia Professional Billing CurrentSince Jun 11, 2024 Accepting new patients
Titan Neurophysiology PA CurrentSince Feb 22, 2016 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Magnolia Regional Health Center CurrentSince Jun 11, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Dec 2, 2025 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Aug 1, 2023 Accepting new patients
Legacy Clinics LLC CurrentSince Dec 7, 2025 Accepting new patients
Yalobusha General Hospital Current Accepting new patients
Cibola General Hospital Corporation CurrentSince Oct 7, 2025 Accepting new patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
Arnot Ogden Medical Center CurrentSince Sep 30, 2023 Accepting new patients
Legacy Clinics LLC CurrentSince Dec 7, 2025 Accepting new patients
Magnolia Regional Health Center Current Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Appalachian Regional Healthcare, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Insight Neuralmonitoring, Inc. Past Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Pediatrix Medical Group of Michigan PC Past Accepting new patients
Benefis Hospitals Inc Past Accepting new patients

Locations

1719 E 19th Ave
Denver, CO 80218
Phone (303) 839-6000

2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

5151 N 9th Ave
Ste 200
Pensacola, FL 32504
Phone (850) 416-4188

330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

299 Glasgow Rd
Burkesville, KY 42717
Phone (270) 864-2511

100 Airport Gardens Rd
Hazard, KY 41701
Phone (606) 216-5145

181 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 439-1316

200 Medical Dr
Hazard, KY 41701
Phone (606) 439-6782

3704 Highway 72 W
Corinth, MS 38834
Phone (662) 286-1499

611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961

604 S Main St
Water Valley, MS 38965
Phone (662) 473-1311

1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446

1423 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-6500

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

100 Front St
Ste 280
West Cnshohocken, PA 19428
Phone (215) 860-0100

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Interoperability endpoints

  • Direct secure messaging: sthirmumalai671111@hisp.ehr.sutterhealth.org
  • Direct secure messaging: sthirumalai1373127@ahs.direct-ci.com

Organizations & group practices 37

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.

View all 37

Hospital & facility affiliations 1

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1528155132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # M14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-4590",
            "fax_number": "904-539-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PRINGLE WAY STE 505",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021469",
            "telephone_number": "757-982-5437",
            "fax_number": "775-982-3971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 NE 139th St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986862742",
            "country_code": "US",
            "telephone_number": "360-487-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Laurel St Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503143044",
            "country_code": "US",
            "telephone_number": "515-643-6290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIRUMALAI",
        "first_name": "SHANTI",
        "middle_name": "SENGAMALAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "FL",
            "license": "ME99791",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "WA",
            "license": "MD70047140",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "IA",
            "license": "MD-37167",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NV",
            "license": "24452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4948191",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A530600",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAL OPTIMA",
            "identifier": "00A530600 L59",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.