Subramanyam Santhanam, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

036049096 Issued in IL

Practice address

2650 Ridge Ave
Div of Nephrology
Evanston, IL 60201-1718

Phone

(847) 561-6085

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1225112741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 WELLESLEY CIR",
            "address_2": "NONE",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621137",
            "telephone_number": "847-561-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE",
            "address_2": "DIV OF NEPHROLOGY",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011718",
            "telephone_number": "847-561-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTHANAM",
        "first_name": "SUBRAMANYAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036049096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036049096",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marian Erika Sanchez
• Keri Sandberg, RDH
• Alan R Sanders, MD
• Susan E Sandholm, MSW
• Junaid Khan Sandozi, MD
• Brigid Ann Santino, PT, DPT
• Joshua Santucci, MD
• Lina Sapiegiene, MD
• Sanjaya Sapkota
• Supriya Sapkota, MD

• Nephrology Physician in Evanston, IL
• Providers in Evanston, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.