Quick answers
- Does Balaji Shanmugam accept Medicare assignment?
- Yes. Medicare's clinician data says Balaji Shanmugam accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Balaji Shanmugam see?
- In 2024, CMS data shows 547 Original Medicare patients and 1,126 services for Balaji Shanmugam. This counts Original Medicare only and measures volume, not quality.
- What is Balaji Shanmugam's NPI number?
- 1851786164. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Balaji Shanmugam, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 547 |
|---|---|
| Services billed to Medicare | 1,126 |
| Different services or procedures | 46 |
| Participating Medicare provider | Yes |
| Average age of these patients | 77 |
Most frequent services
- Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)281 services
- Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)171 services
- Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (93306)169 services
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (93010)88 services
- Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)71 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure75%
- High cholesterol75%
- Ischemic heart disease60%
- Arthritis56%
- Chronic kidney disease50%
- Heart failure50%
Hospitals where Balaji Shanmugam works
Medicare's Facility Affiliation Data lists Balaji Shanmugam at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.
- Carteret General HospitalMorehead City, NC · Acute Care Hospital · Medicare rating: 2 of 5 stars · Emergency services: listed by Medicare · CCN 340142
- Healthalliance Hospital Marys Avenue CampusKingston, NY · Acute Care Hospital · Medicare rating: 1 of 5 stars · Emergency services: listed by Medicare · CCN 330224
- Margaretville Memorial HospitalMargaretville, NY · Critical Access Hospital · Emergency services: listed by Medicare · CCN 331304
- Memorial HospitalBelleville, IL · Acute Care Hospital · Medicare rating: 5 of 5 stars · Emergency services: listed by Medicare · CCN 140185
- Westchester Medical CenterValhalla, NY · Acute Care Hospital · Medicare rating: 2 of 5 stars · Emergency services: listed by Medicare · CCN 330234
Practice locations
Addresses where Balaji Shanmugam is enrolled with Medicare (CMS data updated October 2, 2026). The first 5 of 13; the Medicare profile lists all.
- 1 Memorial DrAlton, IL 62002 (618) 463‑7240
- 105 Marys AveKingston, NY 12401 (845) 331‑3131
- 1165 Cedar Point BlvdCedar Point, NC 28584
- 1404 Cross StShiloh, IL 62269 (618) 607‑3055
- 1404 Cross St, Suite 2940Shiloh, IL 62269 (618) 607‑3700
Group practices
Medicare enrollment lists Balaji Shanmugam as a member of these groups (CMS data updated October 2, 2026).
- Westchester Medical Center Advanced Physician Services PC897 clinicians in the group
- Fairview Heights Medical Group SC444 clinicians in the group
- Carteret County General Hospital Corporation118 clinicians in the group
- Carteret Medical Group LLC67 clinicians in the group
Specialties
- Interventional Cardiologyprimary
Other interventional cardiologists in Alton
Clinicians with the same Medicare primary specialty in Alton, IL — not a recommendation.
Other clinicians in Westchester Medical Center Advanced Physician Services PC
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | MD |
|---|---|
| Graduation year | 2015 (11 years since medical school) |
| Gender (as listed) | Male |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1851786164 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians