Dr Balaji Shanmugam, MD in Lake Mary, FL - Medicare Interventional Cardiology

Dr Balaji Shanmugam, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Lake Mary, Florida. He graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Phoenixville Clinic Company Llc, Carteret Medical Group Llc, Carteret County General Hospital Corporation, Westchester Medical Center Advanced Physician Services Pc and his current practice location is 209 Belle Fontaine Cir, Suite #403, Lake Mary, Florida. You can reach out to his office (for appointments etc.) via phone at (917) 683-3516.

Dr Balaji Shanmugam is licensed to practice in Illinois (license number 036172817) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851786164.

Contact Information

	Dr Balaji Shanmugam, MD
	209 Belle Fontaine Cir, Suite #403, Lake Mary, FL 32746
	(917) 683-3516
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Balaji Shanmugam
Gender	Male
Speciality	Interventional Cardiology
Experience	11 Years
Location	209 Belle Fontaine Cir, Lake Mary, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Balaji Shanmugam graduated from medical school in 2015

NPI Data:

NPI Number: 1851786164
Provider Enumeration Date: 04/02/2015
Last Update Date: 09/17/2025

Medicare PECOS Information:

PECOS PAC ID: 7315242260
Enrollment ID: I20240516002755

Medical Identifiers

Medical identifiers for Dr Balaji Shanmugam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851786164	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0011X	Internal Medicine - Interventional Cardiology	036172817 (Illinois)	Primary
207RI0011X	Internal Medicine - Interventional Cardiology	ME154696 (Florida)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Pottstown Hospital	Pottstown, PA	Hospital
Phoenixville Hospital	Phoenixville, PA	Hospital
Carteret General Hospital	Morehead city, NC	Hospital
Healthalliance Hospital Marys Avenue Campus	Kingston, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Phoenixville Clinic Company Llc	5799796850	117
Carteret Medical Group Llc	5698947794	33
Carteret County General Hospital Corporation	7517877517	88
Westchester Medical Center Advanced Physician Services Pc	3173660776	745

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Balaji Shanmugam allows following entities to bill medicare on his behalf.

Entity Name	St Lukes Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062

Entity Name	Phoenixville Clinic Company Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891866182 PECOS PAC ID: 5799796850 Enrollment ID: O20060606000128

Entity Name	Mount Nittany Medical Center Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598992554 PECOS PAC ID: 8426136797 Enrollment ID: O20081021000240

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Balaji Shanmugam is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Balaji Shanmugam, MD 209 Belle Fontaine Circle, Suite #403, Lake Mary, FL 32746 Ph: (917) 683-3516	Dr Balaji Shanmugam, MD 209 Belle Fontaine Cir, Suite #403, Lake Mary, FL 32746 Ph: (917) 683-3516

Reviews and Comments

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Dr Balaji Shanmugam, MD - Medicare Interventional Cardiology in Lake Mary, FL