Individual provider Active NPI

Raghunandan Dudda Subramanya, MD, FACC, FASNC

  • Cardiovascular Disease Physician
  • Voorhees, NJ
National Provider Identifier
1114243516
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA08698900 Issued in NJ
Practice address
2309 E Evesham Rd
Suite 201
Voorhees, NJ 08043-1559
Phone
(856) 325-5400
Fax
(856) 325-5416
NPI assigned
Apr 12, 2010
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD430083 PA
Cardiovascular Disease Physician 207RC0000X 25MA08698900 NJ Primary

Addresses

Primary practice location

2309 E Evesham Rd
Suite 201
Voorhees, NJ 08043-1559

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other names 1

  • Raghu Dudda Subramanya Professional name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address rduddasubramanya13984@directvirtua.org
Direct Messaging Address rduddasubramanya13984@directvirtua.org
Direct Messaging Address rduddasubramanya13984@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20100722000170 NJ Practitioner - Cardiovascular Disease (Cardiology) 1052443900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

1 Brace Rd
Cherry Hill, NJ 08034-2600

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260

128 Route 70
Medford, NJ 08055-2371

175 Madison Ave
Mount Holly, NJ 08060-2038

2 Sindoni LN
Hammonton, NJ 08037-1884

2309 E Evesham Rd
Voorhees, NJ 08043-1559

3242 Route 206
Bordentown, NJ 08505-4517

539 Egg Harbor Rd
Sewell, NJ 08080-2371
Phone (856) 589-0300

728 Marne Hwy
Moorestown, NJ 08057-3128

730 N Broad St
Suite 200a
Woodbury, NJ 08096-1796
Phone (856) 251-2340

90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 247-7260

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Family Medicine CurrentSince Dec 4, 2013 Accepting new patients
Virtua Medical Group, PA CurrentSince Dec 4, 2013 Accepting new patients
Philadelphia Health & Education Corp Cardiovascular Disease Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

303 Lippincott Dr
Marlton, NJ 08053

6981 N Park Dr
Ste 200D
Pennsauken, NJ 08109
Phone (856) 663-4949

2309 E Evesham Rd
Ste 201
Voorhees, NJ 08043
Phone (856) 325-5400

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1114243516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 E EVESHAM RD",
            "address_2": "SUITE 201",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431559",
            "telephone_number": "856-325-5400",
            "fax_number": "856-325-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDDA SUBRAMANYA",
        "first_name": "RAGHUNANDAN",
        "credential": "MD, FACC, FASNC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-12",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD430083",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08698900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rduddasubramanya13984@directvirtua.org",
            "affiliation": "N",
            "address_1": "2309 E Evesham Rd",
            "address_2": "Suite 201",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080431559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rduddasubramanya13984@directvirtua.org",
            "affiliation": "N",
            "address_1": "2309 E Evesham Rd Ste 101",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080431559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rduddasubramanya13984@directvirtua.org",
            "affiliation": "N",
            "address_1": "6981 N Park Dr Ste 200D",
            "city": "Pennsauken",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081094201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RAGHU",
            "last_name": "DUDDA SUBRAMANYA",
            "credential": "MD, FACC, FASNC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.