NPIMap

Individual provider Active NPI

Anandaraj Subramanium, M.D.

  • Family Medicine Physician
  • Mountain View, AR
National Provider Identifier
1194767657
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-4624 Issued in AR
Practice address
1809 Ozarka College Drive
Mountain View, AR 72560-1198
Phone
(870) 269-7777
Fax
(870) 269-5055
NPI assigned
Jun 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-4624 AR Primary

Addresses

Primary practice location

1809 Ozarka College Drive
Mountain View, AR 72560-1198

Mailing address

PO Box 1198
Mountain View, AR 72560-1198
Phone (870) 269-7777

Other identifiers 1

IdentifierTypeStateIssuer
E-4624OtherARLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060905000404 AR Practitioner - Family Practice 0143224105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1809 Ozarka College Dr
Mountain View, AR 72560-6455
Phone (870) 269-7777

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of skin lesions82
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-4624ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Andy'S Family Practice , PLLC Family Medicine CurrentSince Aug 1, 2009 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

1809 Ozarka College Dr
Mountain View, AR 72560
Phone (870) 267-7777

2106 E Main St
Mountain View, AR 72560
Phone (870) 262-5056

Interoperability endpoints

  • Direct secure messaging: admin@drandysfamilypractice.e-mdsdirect.com

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.

Hospital & facility affiliations 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1194767657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1198",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725601198",
            "telephone_number": "870-269-7777",
            "fax_number": "870-269-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 OZARKA COLLEGE DRIVE",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725601198",
            "telephone_number": "870-269-7777",
            "fax_number": "870-269-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBRAMANIUM",
        "first_name": "ANANDARAJ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-4624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "E-4624",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, AR

Sources for this page

Verify at the official NPI Registry.