Individual provider Active NPI

Meenakshisundaram Subramanian, DO

  • Ophthalmology Physician
  • McAllen, TX
National Provider Identifier
1154613099
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
T1859 Issued in TX
Practice address
1309 E Ridge Rd Ste 1
McAllen, TX 78503-1518
Phone
(956) 844-6440
NPI assigned
May 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 944 NE
Ophthalmology Physician 207W00000X T1859 TX Primary

Addresses

Primary practice location

1309 E Ridge Rd Ste 1
McAllen, TX 78503-1518

Mailing address

27351 Dequindre Rd
Madison Heights, MI 48071-3487
Phone (248) 967-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210610002037 TX Practitioner - Ophthalmology 6002216181
I20220622002262 CA Practitioner - Ophthalmology 6002216181 Reassigns benefits to 2 organizations
I20240620003683 NC Practitioner - Ophthalmology 6002216181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians
Orange County Retina Medical GroupGroup PAC ID 1951345883, 5 clinicians

Practice addresses (Care Compare)

10800 Magnolia Ave
Riverside, CA 92505-3043
Phone (951) 353-2000

999 N Tustin Ave
Suite 17
Santa Ana, CA 92705-6504
Phone (714) 972-8432

Merit-based Incentive Payment System (MIPS)

Final score
88.87 of 100Reported as group
Quality
72.13
Promoting interoperability
80
Improvement activities
40
Cost
77.36

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T1859TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Ophthalmology CurrentSince Jul 1, 2022 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jul 1, 2022 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Ophthalmology Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 28, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Retina Associates, PLLC Ophthalmology CurrentSince Aug 1, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 28, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients

Locations

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

11370 Anderson St
Ste 1800
Loma Linda, CA 92354
Phone (909) 558-2154

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700

75036 Gerald Ford Dr
Palm Desert, CA 92211
Phone (760) 834-2508

10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000

2195 Club Center Dr
Ste A
Sn Bernrdno, CA 92408
Phone (909) 835-1750

220 Springbrook Ave
Ste 100
Clayton, NC 27520

4414 Lake Boone Trl
Ste 302
Raleigh, NC 27607
Phone (919) 782-8038

5900 Six Forks Rd
Ste 105
Raleigh, NC 27609
Phone (919) 782-8038

3113 Rogers Rd
Ste 200
Wake Forest, NC 27587

Interoperability endpoints

  • Direct secure messaging: msubramanian@northcarolinaretina.intellechartdirect.net
  • Direct secure messaging: sam.subra@eyecenters.emadirect.md

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1154613099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27351 DEQUINDRE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713487",
            "telephone_number": "248-967-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 E RIDGE RD STE 1",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031518",
            "telephone_number": "956-844-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBRAMANIAN",
        "first_name": "MEENAKSHISUNDARAM",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-11",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "944",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "T1859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.