Individual provider Active NPI

Subramanian Srinivas, M.D.

  • Gastroenterology Physician
  • Baltimore, MD
National Provider Identifier
1306809298
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D22652 Issued in MD
Practice address
5601 Loch Raven Blvd
Russell Morgan BLDG., 3Rd Floor
Baltimore, MD 21239-2905
Phone
(410) 464-5600
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X D22652 MD Primary

Addresses

Primary practice location

5601 Loch Raven Blvd
Russell Morgan BLDG., 3Rd Floor
Baltimore, MD 21239-2905

Mailing address

100 Walter Ward Blvd
Ste 100
Abingdon, MD 21009-1283
Phone (443) 347-4700

Other identifiers 1

IdentifierTypeStateIssuer
138821500MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100916000561 MD Practitioner - Gastroenterology 2163467663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Merit-based Incentive Payment System (MIPS)

Final score
91.19 of 100Reported as group
Quality
86.11
Promoting interoperability
100
Improvement activities
40
Cost
84.53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D22652MDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Aug 23, 2014 Accepting new patients
Harford Gastroenterology Associates PA Gastroenterology CurrentSince Jan 1, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince Aug 23, 2014 Accepting new patients
Helixcare Medical Group, LLC Past Accepting new patients
Franklin Square Hospital Center, Inc. Past Accepting new patients

Locations

100 Walter Ward Blvd
Ste 100
Abingdon, MD 21009
Phone (443) 347-4700

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

5601 Loch Raven Blvd
Bldg 3RD
Baltimore, MD 21239
Phone (410) 464-5600

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

Organizations & group practices 5

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306809298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WALTER WARD BLVD",
            "address_2": "STE 100",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091283",
            "telephone_number": "443-347-4700",
            "fax_number": "443-643-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD",
            "address_2": "RUSSELL MORGAN BLDG., 3RD FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392905",
            "telephone_number": "410-464-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRINIVAS",
        "first_name": "SUBRAMANIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2026-07-13",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D22652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138821500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.