Individual provider Active NPI

Subinoy Das, MD

  • Otolaryngology Physician
  • Columbus, OH
National Provider Identifier
1063461663
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35091644 Issued in OH
Practice address
770 Jasonway Ave Ste 1B
Columbus, OH 43214-4360
Phone
(614) 867-3681
Fax
(614) 914-5025
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 35091644 OH Primary

Addresses

Primary practice location

770 Jasonway Ave Ste 1B
Columbus, OH 43214-4360

Mailing address

770 Jasonway Ave Ste 1B
Columbus, OH 43214-4360
Phone (614) 867-3681

Other identifiers 1

IdentifierTypeStateIssuer
2843874MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bethelannex@ohpin.direct-ci.net
Other URL usasinus@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080717000494 OH Practitioner - Otolaryngology 7416968755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Virginia School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

770 Jasonway Ave
Suite 1B
Columbus, OH 43214-4360
Phone (614) 867-3681

Hospital & facility affiliations

  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35091644OHMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
U.S. Institute for Advanced Sinus Care and Research, LLC CurrentSince Jul 2, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

770 Jasonway Ave
Ste 1B
Columbus, OH 43214
Phone (614) 788-2730

Organizations & group practices 2

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 4

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1063461663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 JASONWAY AVE STE 1B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144360",
            "telephone_number": "614-867-3681",
            "fax_number": "614-914-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 JASONWAY AVE STE 1B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144360",
            "telephone_number": "614-867-3681",
            "fax_number": "614-914-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAS",
        "first_name": "SUBINOY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35091644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2843874",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bethelannex@ohpin.direct-ci.net",
            "affiliation": "N",
            "address_1": "974 Bethel Rd",
            "address_2": "Ste A",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432142467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "usasinus@gmail.com",
            "affiliation": "N",
            "endpointDescription": "gmail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "770 Jasonway Ave Ste 1B",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432144360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.