Active NPI
Kiona R Subramanian, MD
- Family Medicine Physician
- Gainesville, FL
National Provider Identifier
1033152111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101238177
- Practice address
- 6228 NW 43Rd St
Suite B
Gainesville, FL 32653-8871 - Phone
- (352) 332-6680
- Fax
- (352) 332-6604
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101238177 | VA | Primary |
Addresses
Primary practice location
6228 NW 43Rd St
Suite B
Gainesville, FL 32653-8871
Mailing address
6228 NW 43Rd St
Suite B
Gainesville, FL 32653-8871
Phone (352) 332-6680
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 306331 | Other | VA | SOUTHERN HEALTH |
| P00229852 | Other | VA | PALMETTO GBA |
| 4132903 | Other | VA | MAMSI |
| 95535 | Other | VA | COMMUNITY HEALTH |
| 0895051 | Other | VA | CIGNA |
| 179792 | Other | VA | ANTHEM SVC/HEALTHKEEPERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150526000872 | FL | Order and Referring Only - Family Practice | 6608836549 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martha Jefferson Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Endoscopy Clinic/Center
- Charlottesville, VA
- NPI 1942189022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386892800000",
"number": "1033152111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6228 NW 43RD ST",
"address_2": "SUITE B",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326538871",
"telephone_number": "352-332-6680",
"fax_number": "352-332-6604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6228 NW 43RD ST",
"address_2": "SUITE B",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326538871",
"telephone_number": "352-332-6680",
"fax_number": "352-332-6604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUBRAMANIAN",
"first_name": "KIONA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2013-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101238177",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "306331",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "P00229852",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "4132903",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY HEALTH",
"identifier": "95535",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0895051",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM SVC/HEALTHKEEPERS",
"identifier": "179792",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
- Carlos Adrian Suanes Zubizarreta, MD
- Idelisse Marie Suarez Maldonado, MD
- Merly Suarez, PHARMD
- Subadra Sivakumaran MD PA
- Sreevidya Kannoorpatti Subbarayan, MD
- Natrajan Raj Subramanian, M.D.
- Sankarasubramoney H Subramony, MD
- Success Speech Therapy, LLC
- Success Speech Therapy, LLC
- David Ira Suchman, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.