Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Balaji Shanmugam, MD

Individual provider Interventional Cardiology Physician · NPI 1851786164

Dr. Balaji Shanmugam, MD is an Interventional Cardiology in Lake Mary, Florida. Qualified in 2015, 11 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Illinois.

Years since qualifying
11
Licensed in
FL, IL
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

209 Belle Fontaine Cir Ste #403
Lake Mary, FL 32746
Phone: (917) 683-3516
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4600 Memorial Dr Ste W1, Belleville, IL 62226-5359 — (618) 233-3066

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 036172817 (IL)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence ME154696 (FL)

Record details

NPI number1851786164
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2015
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare