Individual provider Active NPI

Vinodhini M Subramanian, MD

  • Hospitalist Physician
  • Syracuse, NY
National Provider Identifier
1013906858
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
239999 Issued in NY
Practice address
736 Irving Ave
Syracuse, NY 13210-1690
Phone
(315) 470-7111
NPI assigned
Oct 14, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD18338 ME
Internal Medicine Physician 207R00000X 239999 NY
Internal Medicine Physician 207R00000X A82592 CA
Internal Medicine Physician 207R00000X EL91030 ME
Hospitalist Physician 208M00000X MD18338 ME
Hospitalist Physician 208M00000X 285927 MA
Hospitalist Physician 208M00000X 239999 NY Primary

Addresses

Primary practice location

736 Irving Ave
Syracuse, NY 13210-1690

Mailing address

PO Box 723
Bridgeport, NY 13030-0723
Phone (315) 288-0317

Other identifiers 3

IdentifierTypeStateIssuer
39485714MedicaidCO
46871837MedicaidNM
913170MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NY, MA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20070316000128 ME Practitioner - Internal Medicine 4688626930 Reassigns benefits to 1 organization
I20150609000919 NY Practitioner - Internal MedicinePractitioner - Hospitalist 4688626930 Reassigns benefits to 3 organizations
I20221220000705 MA Practitioner - Hospitalist 4688626930 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Washington University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crouse Health Hospital IncGroup PAC ID 9739173774, 155 clinicians

Practice addresses (Care Compare)

736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD18338MEMDInternal Medicine Physician
239999NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Calais Community Hospital CurrentSince Nov 16, 2020 Accepting new patients
Calais Community Hospital CurrentSince Nov 16, 2020 Accepting new patients
Crouse Health Hospital, Inc. CurrentSince Jan 17, 2021 Accepting new patients
Physicians of Cape Cod Hospital Internal Medicine CurrentSince May 23, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 1, 2022 Accepting new patients
St James Hospital CurrentSince Jul 1, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 1, 2022 Accepting new patients
Crouse Health Hospital Inc Hospitalist CurrentSince Jan 17, 2021 Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

9 Galen St
Ste 155
Watertown, MA 02472
Phone (857) 304-2444

24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213

7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790

7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

Interoperability endpoints

  • Direct secure messaging: vsubramanian491638@direct.urmc.rochester.edu
  • Direct secure messaging: vsubramanian178232@direct-guthrie.org

Organizations & group practices 9

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1013906858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 723",
            "city": "BRIDGEPORT",
            "state": "NY",
            "postal_code": "130300723",
            "telephone_number": "315-288-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 IRVING AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101690",
            "telephone_number": "315-470-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBRAMANIAN",
        "first_name": "VINODHINI",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD18338",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "239999",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A82592",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "EL91030",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ME",
            "license": "MD18338",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MA",
            "license": "285927",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "239999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39485714",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46871837",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "913170",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.