Active NPI
Subinoy Das, MD
- Otolaryngology Physician
- Columbus, OH
National Provider Identifier
1063461663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 35091644
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2843874 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
- Dublin Methodist Hospital
- Riverside Methodist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35091644 | OH | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U.S. Institute for Advanced Sinus Care and Research, LLC | Current | 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.
-
- Medical Specialty Clinic/Center
- Columbus, OH
- NPI 1447821665
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1255377149
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1467484972
-
- General Acute Care Hospital
- Dublin, OH
- NPI 1801937008
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.