NPIMap

Individual provider Active NPI

Babu Subramaniam, MD

  • Neurology Physician
  • Conway, SC
National Provider Identifier
1306808258
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
91046 Issued in SC
Practice address
8024 Myrtle Trace Dr
Conway, SC 29526-8945
Phone
(843) 234-8950
Fax
(843) 234-8951
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 1216 VI
Neurology Physician 2084N0400X 2012-02068 NC
Neurology Physician 2084N0400X 101050 WI
Neurology Physician 2084N0400X 91046 SC Primary

Addresses

Primary practice location

8024 Myrtle Trace Dr
Conway, SC 29526-8945

Mailing address

300 Singleton Ridge Rd
Attention PNS Credentialing
Conway, SC 29526-9142
Phone (843) 234-6946

Other practice location 1

254A E Glynn
Suite 1
Christiansted, VI 00851
Phone (340) 773-5070

Other practice location 2

4420 Lake Boone Trl
Raleigh, NC 27607-7505
Phone (919) 784-7093

Other identifiers 1

IdentifierTypeStateIssuer
910465MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bsubramaniam348930@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180709002359 NC Practitioner - Neurology 8628165677 Reassigns benefits to 4 organizations
I20240314004215 SC Practitioner - Neurology 8628165677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conway Hospital IncGroup PAC ID 7113839606, 127 clinicians

Practice addresses (Care Compare)

8024 Myrtle Trace Dr
Conway, SC 29526-8945
Phone (843) 234-8950

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Hospital, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Sep 12, 2023 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince May 31, 2018 Accepting new patients
Conway Hospital, Inc. CurrentSince Apr 1, 2024 Accepting new patients
North Carolina MG, LLC Neurological Surgery CurrentSince Jul 1, 2025 Accepting new patients
Moses Cone Physician Services, Inc Neurology CurrentSince Sep 12, 2023 Accepting new patients
Moses Cone Physician Services, Inc. Current Accepting new patients
Vidant Medical Group LLC CurrentSince Jul 17, 2023 Accepting new patients
Conway Hospital, Inc. Past Accepting new patients

Locations

194 Finley Golf Course Rd
Ste 200
Chapel Hill, NC 27517
Phone (919) 445-0870

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

394 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-8050

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

8024 Myrtle Trace Dr
Conway, SC 29526
Phone (843) 234-8950

Organizations & group practices 9

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1306808258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "address_2": "ATTENTION PNS CREDENTIALING",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-234-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8024 MYRTLE TRACE DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268945",
            "telephone_number": "843-234-8950",
            "fax_number": "843-234-8951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "254A E Glynn",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Christiansted",
            "state": "VI",
            "postal_code": "00851",
            "country_code": "US",
            "telephone_number": "340-773-5070",
            "fax_number": "340-773-5070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4420 Lake Boone Trl",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276077505",
            "country_code": "US",
            "telephone_number": "919-784-7093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBRAMANIAM",
        "first_name": "BABU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "VI",
            "license": "1216",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2012-02068",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "101050",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "91046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "910465",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bsubramaniam348930@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "4420 Lake Boone Trl",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276077505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.