NPIMap

Individual provider Active NPI

Ty Kanyn Subhawong, MD

  • Diagnostic Radiology Physician
  • Miami, FL
National Provider Identifier
1306987995
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME110653 Issued in FL
Practice address
1611 NW 12TH Ave
Dept Radiology JMH WW 279
Miami, FL 33136-1005
Phone
(305) 585-7500
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME110653 FL Primary

Addresses

Primary practice location

1611 NW 12TH Ave
Dept Radiology JMH WW 279
Miami, FL 33136-1005

Mailing address

1611 NW 12TH Ave
Dept Radiology JMH WW 279
Miami, FL 33136-1005
Phone (305) 585-7500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120709000268 FL Practitioner - Diagnostic Radiology 6406024355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Vanderbilt University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians
Neuroscience Consultants LLPGroup PAC ID 8729040670, 109 clinicians

Practice addresses (Care Compare)

3848 Fau Blvd
Boca Raton, FL 33431-6437
Phone (305) 243-4000

9085 SW 87TH Ave
Suite 200
Miami, FL 33176-2309
Phone (305) 412-3336

Hospital & facility affiliations

  • Univ of Miami Hospital and Clinics-Sylvester Compr Hospital, Miami, FL, CCN 100079
  • Jackson Health System Hospital, Miami, FL, CCN 100022
  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
  • Gov Juan F Luis Hospital & Medical Ctr Hospital, St Croix, VI, CCN 480002
  • Doctors Hospital Hospital, Coral Gables, FL, CCN 100296

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME110653FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroscience Consultants LLP CurrentSince Jul 1, 2025 Accepting new patients
University of Miami Current Accepting new patients
University of Miami Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
University of Miami Diagnostic Radiology Past Accepting new patients

Locations

3848 Fau Blvd
Boca Raton, FL 33431
Phone (561) 447-8990

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

9960 NW 116th Way
Ste 13
Medley, FL 33178

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1611 NW 12th Ave
#279
Miami, FL 33136
Phone (305) 585-7500

9085 SW 87th Ave
Ste 200
Miami, FL 33176
Phone (305) 279-2767

8940 SW 88th St
Ste 802E
Miami, FL 33176
Phone (305) 595-4041

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: tsubhawong32772@direct.med.miami.edu

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.

Hospital & facility affiliations 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1306987995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "DEPT RADIOLOGY JMH WW 279",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "DEPT RADIOLOGY JMH WW 279",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBHAWONG",
        "first_name": "TY",
        "middle_name": "KANYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME110653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.