Banumathy Subramanian, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301076114 Issued in MI

Practice address

29703 Hoover Rd
Steb
Warren, MI 48093-8901

Phone

(586) 573-9090

Fax

(586) 573-2128

NPI assigned

Aug 3, 2006

Last updated

Mar 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: banumathy.subramanian.1@8209.direct.athenahealth.com
• Direct secure messaging: bsubramanian63386@direct.hfhs.org
• FHIR API: https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/

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.

• Henry Ford Cornerstone Medical Group

  • Family Medicine Physician
  • Clinton Township, MI
  • NPI 1851765374
  Medicare reassignment NPD
• Thomas D Schomaker DO PC

  • Pediatrics Physician
  • Clinton Township, MI
  • NPI 1497906499
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1144238742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20225 E 9 MILE RD",
            "address_2": "STE A",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801700",
            "telephone_number": "586-573-9090",
            "fax_number": "586-573-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29703 HOOVER RD",
            "address_2": "STEB",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480938901",
            "telephone_number": "586-573-9090",
            "fax_number": "586-573-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBRAMANIAN",
        "first_name": "BANUMATHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301076114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breann Strong
• Stuart L Davidson D D S P C
• Aishah Stubbs
• Angel Studvent
• Raymond L Stull
• Hannah Marie Suciu, OTR/L
• Sudad Louis MD PLLC
• Sudhir Lingnurkar MD PLC
• Robin Jade Mahinay Suelan
• Caroline Elena Sulich-Moore, DNP, FNP-C

• Pediatrics Physician in Warren, MI
• Providers in Warren, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.