Dr. Prashanth Shanmugham
- Gender: Male
- Sole propriator: No
- NPI: 1003340142
Dr. Prashanth Shanmugham M.D.
Resident
He is located at 5151 North 9th Avenue in Pensacola, FL 32504. His National Provider Identifier (NPI) number is 1003340142. Appointment can be made via the phone number (850) 416-4970.
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Prashanth Shanmugham as in-network for the following 2026 plans.
Health plans
Oscar Health Maintenance Organization of Florida
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 26 plans from Oscar Health Maintenance Organization of Florida
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Bronze Classic 4700 | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Classic 4700 | with AdventHealth | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Classic Standard (2 plan variants) | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Classic Standard | with AdventHealth | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Elite + PCP Saver Plus | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Elite + PCP Saver Plus | with AdventHealth | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Breathe Easy with Enhanced COPD Benefits (2 plan variants) | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Chronic Care CKM (2 plan variants) | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Diabetes (2 plan variants) | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Gold Classic Standard (2 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| Gold Classic Standard | with AdventHealth | HMO · Gold | Preferred | Accepting new patients |
| Gold Elite Saver Plus | with AdventHealth | HMO · Gold | Preferred | Accepting new patients |
| Gold Simple | HMO · Gold | Preferred | Accepting new patients |
| Gold Simple | with AdventHealth | HMO · Gold | Preferred | Accepting new patients |
| Silver Classic Standard (2 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Silver Classic Standard | with AdventHealth | HMO · Silver | Preferred | Accepting new patients |
| Silver Elite | HMO · Silver | Preferred | Accepting new patients |
| Silver Elite | with AdventHealth | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Breathe Easy with Enhanced COPD Benefits (2 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Chronic Care CKM | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Chronic Care CKM | with AdventHealth | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Diabetes | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Diabetes | with AdventHealth | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple PCP Saver | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple PCP Saver | with AdventHealth | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Women's Health with Menopause Benefits (2 plan variants) | HMO · Silver | Preferred | Accepting new patients |
Wellpoint
Network data as of Sep 10, 2026, as reported by the insurer.
Show all 10 plans from Wellpoint
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard | HMO · Expanded Bronze | Participating | Accepting new patients |
| Wellpoint Essential Catastrophic (+ Incentives) | HMO · Catastrophic | Participating | Accepting new patients |
| Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Gold | Participating | Accepting new patients |
| Wellpoint Essential Gold 2000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard | HMO · Gold | Participating | Accepting new patients |
| Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Gold | Participating | Accepting new patients |
| Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Silver | Participating | Accepting new patients |
| Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Silver | Participating | Accepting new patients |
| Wellpoint Essential Silver 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard | HMO · Silver | Participating | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Prashanth Shanmugham is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Prashanth Shanmugham is enrolled to bill Medicare as a Practitioner - Pediatric Medicine (also registered under: Practitioner - Critical Care (intensivists)) .
Bills through: Sacred Heart Health System Inc
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
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Questions & Answers
Does Dr. Prashanth Shanmugham accept insurance?
Dr. Prashanth Shanmugham is listed in-network for 36 ACA Marketplace (Obamacare/HealthCare.gov) plans from Oscar Health Maintenance Organization of Florida, Wellpoint. See the Marketplace plans section for details.
Where can you meet with Dr. Prashanth Shanmugham?
Dr. Prashanth Shanmugham's office is located at 5151 North 9th Avenue in Pensacola, FL 32504.