Active NPI
Hamsa N Subramanian, M.D.
- Allergy & Immunology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 107809
- Practice address
- 425 N New Ballas Rd Ste 203
Saint Louis, MO 63141-6814 - Phone
- (314) 872-3104
- Fax
- (314) 994-7105
- NPI assigned
- May 8, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 107809 | MO | Primary |
Addresses
Primary practice location
425 N New Ballas Rd Ste 203
Saint Louis, MO 63141-6814
Mailing address
425 N New Ballas Rd Ste 203
Saint Louis, MO 63141-6814
Phone (314) 872-3104
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 409550 | Other | MO | HEALTHLINK |
| 567993 | Other | MO | CIGNA HEALTH PLAN |
| 7258195 | Other | MO | AETNA |
| 128761 | Other | MO | BLUE CROSS BLUE SHIELD |
| 0406114 | Other | MO | UNITED HEALTHCARE |
| 227978 | Other | MO | GROUP HEALTH PLAN |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hamsa.subramanian@direct.signature.nextgenshare.com | ||
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Other | Missouri Baptist Medical Center |
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Other | Missouri Baptist Hospital of Sullivan |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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
- Allergy/Immunology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12639 Old Tesson Rd
Suite 115
Saint Louis, MO 63128-2786
Phone 31484903112384
Hospital & facility affiliations
- Missouri Baptist Medical Center
- Mercy Hospital St Louis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signature Medical Group, Inc | Current | Accepting new patients | |
| Signature Medical Group, Inc | Current | Accepting new patients |
Locations
555 N New Ballas Rd
Ste 215
Saint Louis, MO 63141
Phone (314) 872-3104
12639 Old Tesson Rd
Ste 115
Saint Louis, MO 63128
Phone (314) 842-8655
425 N New Ballas Rd
Ste 203
Saint Louis, MO 63141
Phone (314) 872-3104
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.
-
- Orthopaedic Surgery Physician
- Saint Louis, MO
- NPI 1871542761
-
- Durable Medical Equipment & Medical Supplies
- Chesterfield, MO
- NPI 1982473153
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1154370203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 N NEW BALLAS RD STE 203",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416814",
"telephone_number": "314-872-3104",
"fax_number": "314-994-7105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 N NEW BALLAS RD STE 203",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416814",
"telephone_number": "314-872-3104",
"fax_number": "314-994-7105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUBRAMANIAN",
"first_name": "HAMSA",
"middle_name": "N",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "MO",
"license": "107809",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "409550",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH PLAN",
"identifier": "567993",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7258195",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "128761",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0406114",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH PLAN",
"identifier": "227978",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hamsa.subramanian@direct.signature.nextgenshare.com",
"affiliation": "N",
"address_1": "555 N New Ballas Rd Ste 215",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "63141",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Missouri Baptist Medical Center",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "API",
"address_1": "3015 N Ballas Rd",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631312329",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Missouri Baptist Hospital of Sullivan",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "API",
"address_1": "751 Sappington Bridge Rd",
"city": "Sullivan",
"state": "MO",
"country_code": "US",
"postal_code": "630802354",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.