Deepal Shanmugam, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP125525 Issued in TX

Practice address

4140 Whispering Creek Dr
College Station, TX 77845-6384

Phone

(214) 924-9148

NPI assigned

Apr 10, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metro Infectious Disease Consultants LLCGroup PAC ID 3072425784, 386 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Metro Infectious Disease Consultants, LLC

  • Infectious Disease Physician
  • Burr Ridge, IL
  • NPI 1235125717

  TX

  Medicare reassignment Care Compare group NPD
• Metro Infectious Disease Consultants LLC

  • Infectious Disease Physician
  • Jonesboro, GA
  • NPI 1770307191
  NPD

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1851710347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 WHISPERING CREEK DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456384",
            "telephone_number": "214-924-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 WHISPERING CREEK DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456384",
            "telephone_number": "214-924-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANMUGAM",
        "first_name": "DEEPAL",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Serrano
• Marc Anthony Serret, M.D.
• Judson Malcome Severson, D.O.
• Rebecca Shanesmith, M.D.
• Aiyanadar Shanmugam, M.D F.A.C.E, F.A.C.E
• Ganesh Shanmugam, MD
• Natraj Aiyappan Shanmugam, M.D.
• Shanna L. Williams DDS, PA
• Nicole Laraye Sharp, LPC
• Elle Shaw

• Family Nurse Practitioner in College Station, TX
• Providers in College Station, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.