Individual provider Active NPI

Thyagarajan Subramanian, MD

  • Neurology Physician
  • Hershey, PA
National Provider Identifier
1003864091
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD051253L Issued in PA
Practice address
30 Hope Dr Ste 1300
Hershey, PA 17033-2036
Phone
(717) 531-3828
Fax
(717) 531-0465
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD051253L PA Primary

Addresses

Primary practice location

30 Hope Dr Ste 1300
Hershey, PA 17033-2036

Mailing address

PO Box 858
MC A410
Hershey, PA 17033-0858
Phone (800) 243-1455

Other practice location 1

500 University Dr
MC A410
Hershey, PA 17033-2360
Phone (800) 243-1455

Other identifiers 1

IdentifierTypeStateIssuer
1016359190001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050418000283 OH Practitioner - Neurology 2567409956 Reassigns benefits to 2 organizations
I20260526004198 DC Practitioner - Neurology 2567409956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard UniversityGroup PAC ID 0941109565, 182 clinicians

Practice addresses (Care Compare)

2041 Georgia NW Ave
Washington, DC 20060-0001
Phone (202) 865-6679

Hospital & facility affiliations

  • Howard University Hospital Corp Hospital, Washington, DC, CCN 090003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD051253LPAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Toledo Physicians LLC CurrentSince Dec 1, 2021 Accepting new patients
Promedica Central Physicians CurrentSince Dec 1, 2021 Accepting new patients
Promedica Central Physicians CurrentSince Dec 1, 2021 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Past Accepting new patients

Locations

2130 W Central Ave
Toledo, OH 43606
Phone (419) 291-4590

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

Interoperability endpoints

  • Direct secure messaging: tsubramanian243886@direct.promedica.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1003864091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 858",
            "address_2": "MC A410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170330858",
            "telephone_number": "800-243-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HOPE DR STE 1300",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332036",
            "telephone_number": "717-531-3828",
            "fax_number": "717-531-0465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_2": "MC A410",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "800-243-1455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBRAMANIAN",
        "first_name": "THYAGARAJAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD051253L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016359190001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.