Active NPI
Aragam Krishnarao Subramanya, M.D.
- Otolaryngology Physician
- Marlborough, MA
National Provider Identifier
1205984614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 34888
- Practice address
- 320 Bolton St
102
Marlborough, MA 01752-3980 - Phone
- (508) 481-7180
- Fax
- (508) 624-9374
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 34888 | MA | Primary |
Addresses
Primary practice location
320 Bolton St
102
Marlborough, MA 01752-3980
Mailing address
320 Bolton St
102
Marlborough, MA 01752-3980
Phone (508) 481-7180
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B28039 | Other | MA | BLUE CROSS & BLUES HIELD |
| 034888 | Other | MA | ALL OTHER INSURANCES |
| 034888 | Other | MA | TUFTS HEALTH |
| 9720111 | Medicaid | MA | |
| 2000000134 | Other | MA | HARVARD PILGRIM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205984614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 BOLTON ST",
"address_2": "102",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017523980",
"telephone_number": "508-481-7180",
"fax_number": "508-624-9374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 BOLTON ST",
"address_2": "102",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017523980",
"telephone_number": "508-481-7180",
"fax_number": "508-624-9374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUBRAMANYA",
"first_name": "ARAGAM",
"middle_name": "KRISHNARAO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MA",
"license": "34888",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUES HIELD",
"identifier": "B28039",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALL OTHER INSURANCES",
"identifier": "034888",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH",
"identifier": "034888",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9720111",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "2000000134",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marlborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.