Individual provider Active NPI

Anu Subramanian, PH.D.

  • Speech-Language Pathologist
  • West Lafayette, IN
National Provider Identifier
1265612626
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5782 Issued in MA
Practice address
500 Oval Drive Purdue University
Dept of Speech Language and Hearing Sciences
West Lafayette, IN 47907
Phone
(978) 257-1731
NPI assigned
Nov 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5782 MA Primary

Addresses

Primary practice location

500 Oval Drive Purdue University
Dept of Speech Language and Hearing Sciences
West Lafayette, IN 47907

Mailing address

3060 Georgton Rd
West Lafayette, IN 47906-4819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150811004308 IA Practitioner - Qualified Speech Language Pathologist 2769797448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

250 Hawkins Dr
Wendell Johnson Speech and Hearing Center
Iowa City, IA 52242-1012

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5782MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa Speech-Language Pathologist CurrentSince Aug 1, 2015 Accepting new patients
State University of Iowa CurrentSince Aug 1, 2015 Accepting new patients

Locations

250 Hawkins Dr
Iowa City, IA 52242
Phone (319) 335-8703

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

Interoperability endpoints

  • Direct secure messaging: asubramanian81763@uihcdirect.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1265612626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 GEORGTON RD",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479064819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OVAL DRIVE PURDUE UNIVERSITY",
            "address_2": "DEPT OF SPEECH LANGUAGE AND HEARING SCIENCES",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "47907",
            "telephone_number": "978-257-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBRAMANIAN",
        "first_name": "ANU",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "5782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.