DR. BALAJI SHANMUGAM (MD) – Student in an Organized Health Care Education/Training Program, NPI 1851786164
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
343 INTERVENTIONAL CARDIOLOGY in OH
Provider Addresses for DR. BALAJI SHANMUGAM (MD)
553 WATER ST APT 104
DAYTON, OH 454021562
Phone: (917) 683-3516
Type: Mailing
1 WYOMING ST
DAYTON, OH 454092722
Phone: (937) 208-8000
Type: Location
4600 Memorial Dr Ste W1
Belleville, IL 622265359
Phone: (618) 233-3066
Type: Location
209 BELLE FONTAINE CIRCLE
SUITE #403
LAKE MARY, FL 32746
Phone: (917) 683-3516
Type: Mailing
209 BELLE FONTAINE CIR
SUITE #403
LAKE MARY, FL 32746
Phone: (917) 683-3516
Type: Location
1611 NW 12TH AVE
MIAMI, FL 331361005
Phone: (917) 683-3516
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $646.
Total Amount is formed as General ($646) + Research ($0) + Ownership ($0) = $646.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Inari Medical, Inc. ($168).
Total Amount
$646
General + Research + Ownership
Payments
23
Total payment records
General Amount
$646
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-11-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220721003482 | I | Cardiovascular Disease (Cardiology) | FL | TBD |
| I20240516002755 | I | Interventional Cardiology | PA | TBD |
| I20250617001648 | I | Interventional Cardiology | NC | TBD |
| I20250805001184 | I | Cardiovascular Disease (Cardiology) | NY | TBD |
| I20251103002875 | I | Interventional Cardiology | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 613 | 361 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 602 | 238 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 266 | 227 | $0 |
| 99291 | Critical care, first 30-74 minutes | 258 | 81 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 159 | 157 | $0 |
Insurance plans in this area (ZIP 45402)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| General Surgery, Surgical Oncology, Thoracic Surgery, Cardiac Surgery | NY | |
| - | NY | |
| Physician Assistant | NY | |
| Physical Medicine And Rehabilitation | NY | |
| Ophthalmology, Pathology | NY | |
| - | NY | |
| A N E S T H E S I O L O G Y | NY | |
| U R O L O G Y | NY | |
| N E P H R O L O G Y | NY |
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