NPIMap

Individual provider Active NPI

Seshan Subramanian, MD

  • Hematology & Oncology Physician
  • Chicago, IL
National Provider Identifier
1083691950
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036041610 Issued in IL
Practice address
2525 S Michigan Ave
1-422
Chicago, IL 60616-2333
Phone
(312) 567-6691
Fax
(312) 328-7895
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 036041610 IL Primary

Addresses

Primary practice location

2525 S Michigan Ave
1-422
Chicago, IL 60616-2333

Mailing address

2525 S Michigan Ave
1-422
Chicago, IL 60616-2333
Phone (312) 567-6691

Other identifiers 1

IdentifierTypeStateIssuer
036041610MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080114000021 IL Practitioner - Hematology/OncologyPractitioner - HematologyPractitioner - Medical OncologyPractitioner - Internal Medicine 2860573102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine, Medical Oncology
Education
Other, 1961
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Sinai Community FoundationGroup PAC ID 5991600405, 247 clinicians

Practice addresses (Care Compare)

1401 S California Ave
Chicago, IL 60608-1858
Phone (773) 522-6656

2701 W 68TH St
Chicago, IL 60629-1813
Phone (773) 884-9000

California Ave at 15TH St
Chicago, IL 60608-1858
Phone (773) 542-2000

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Chicago, IL, CCN 140133
  • Mt Sinai Hospital Medical Center Hospital, Chicago, IL, CCN 140018
  • Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179

Merit-based Incentive Payment System (MIPS)

Final score
94.03 of 100Reported as group
Quality
71.53
Promoting interoperability
100
Improvement activities
40
Cost
76.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036041610ILMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Community Foundation CurrentSince Jun 1, 2021 Accepting new patients
Mount Sinai Community Foundation CurrentSince Jun 1, 2021 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Jayanthi Ramadurai MD SC Hematology & Oncology PastSince Aug 1, 2016 Accepting new patients

Locations

2701 W 68th St
Chicago, IL 60629
Phone (773) 471-8000

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

4440 W 95th St
Ste 31W
Oak Lawn, IL 60453
Phone (708) 684-5475

Interoperability endpoints

  • Direct secure messaging: seshan.subramanian@affiliatedoncologists.ikm.direct-ci.com

Organizations & group practices 4

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 6

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1083691950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE",
            "address_2": "1-422",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162333",
            "telephone_number": "312-567-6691",
            "fax_number": "312-328-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE",
            "address_2": "1-422",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162333",
            "telephone_number": "312-567-6691",
            "fax_number": "312-328-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBRAMANIAN",
        "first_name": "SESHAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036041610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036041610",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.