NPIMap

Individual provider Active NPI

Ram Subbureddiar, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Tucson, AZ
National Provider Identifier
1326016221
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
30466 Issued in AZ
Practice address
6556 E Carondelet Dr
Tucson, AZ 85710-2117
Phone
(520) 296-8733
Fax
(520) 296-8734
NPI assigned
Mar 8, 2006
Last updated
Nov 29, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 30466 AZ Primary

Addresses

Primary practice location

6556 E Carondelet Dr
Tucson, AZ 85710-2117

Mailing address

7757 E Black Crest PL
Tucson, AZ 85750-7412
Phone (520) 546-6994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040407001590 AZ Practitioner - Internal MedicinePractitioner - Geriatric Medicine 2567455140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6556 E Carondelet Dr
Tucson, AZ 85710-2117
Phone (520) 296-8733

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Haven of Saguaro Valley, LLC Past Accepting new patients
Hospitalists of Arizona, LLC Internal Medicine Past Accepting new patients
SMSJ Tucson Holdings LLC Past Accepting new patients
Hospitalists of Arizona, Inc Internal Medicine Past Accepting new patients
Ipn of Arizona, PLC Internal Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBFJCA/Endpoint/FBFJCA

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1326016221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7757 E BLACK CREST PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857507412",
            "telephone_number": "520-546-6994",
            "fax_number": "520-546-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6556 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102117",
            "telephone_number": "520-296-8733",
            "fax_number": "520-296-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBBUREDDIAR",
        "first_name": "RAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "30466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.