Active NPI
Babu Hosakote Subrahmanyam, MD
- Emergency Medicine Physician
- Jacksboro, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34839
- Practice address
- 717 Magnolia St
Jacksboro, TX 76458-1111 - Phone
- (940) 567-6633
- NPI assigned
- Dec 4, 2007
- Last updated
- Apr 15, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34839 | OK | Primary |
| Family Medicine Physician | 207Q00000X | N7433 | TX |
Addresses
Primary practice location
717 Magnolia St
Jacksboro, TX 76458-1111
Mailing address
717 Magnolia St
Jacksboro, TX 76458-1111
Phone (940) 567-6633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 99.43 of 100
- Quality
- 93.73
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34839 | OK | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group PLLC | Emergency Medicine | Current | Accepting new patients |
| Century Integrated Partners, Inc | Emergency Medicine | Current | Accepting new patients |
| Acs Primary Care Physicians Southwest, PA | Emergency Medicine | Current | Accepting new patients |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| Questcare Medical Services, PLLC | Emergency Medicine | Current | Accepting new patients |
| Physician Services of Jacksboro PA | Past | Accepting new patients |
Locations
5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015
3500 Gaston Ave
Dallas, TX 75246
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
2600 E Pflugerville Pkwy
Ste 100
Pflugerville, TX 78660
Phone (512) 654-6100
3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115
4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000
1975 Alpha Dr
#100
Rockwall, TX 75087
Phone (214) 294-6200
713 E Anderson St
Weatherford, TX 76086
Phone (682) 582-1000
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1447615711
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1083630610
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1912059247
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- Internal Medicine Physician
- Jacksboro, TX
- NPI 1457657371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1093997785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 MAGNOLIA ST",
"city": "JACKSBORO",
"state": "TX",
"postal_code": "764581111",
"telephone_number": "940-567-6633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 MAGNOLIA ST",
"city": "JACKSBORO",
"state": "TX",
"postal_code": "764581111",
"telephone_number": "940-567-6633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSAKOTE SUBRAHMANYAM",
"first_name": "BABU",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-04",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "34839",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "N7433",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksboro, TX
- Graham Regional Medical Center
- Cathy Gresham, FNP-BC
- James Rodney Hammond, R.PH.
- Rhonda Joleen Hansen, PT
- Hayden Behling PA-C & Company
- Jack County Hospital District (Faith Community Hospital Rural Health Clinic)
- Jack County Hospital District (faith community hospital amb surg)
- Jack County Hospital District (Faith Community Hospital Ambulance)
- Jack County Hospital District (Avir at Jacksboro)
- Jack County Hospital District (Faith Community Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.