Individual provider Active NPI

Sumeet Subherwal, MD

  • Cardiovascular Disease Physician
  • Danville, VA
National Provider Identifier
1326138348
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD60516110 Issued in WA
Practice address
1040 Main St
Danville, VA 24541-1816
Phone
(434) 792-1433
Fax
(434) 797-2807
NPI assigned
Oct 13, 2006
Last updated
Jun 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101268494 VA
Cardiovascular Disease Physician 207RC0000X MD60516110 WA Primary

Addresses

Primary practice location

1040 Main St
Danville, VA 24541-1816

Mailing address

3600 Lind Ave SW
Suite 100 Attn Credentialing
Renton, WA 98057-4940
Phone (425) 690-2715

Other practice location 1

4011 Talbot Rd S Ste 500
Renton, WA 98055-5782
Phone (425) 690-3482

Other identifiers 2

IdentifierTypeStateIssuer
2042845MedicaidWA
G8938178OtherWAMEDICARE W VALLEY MEDICAL GROUP - RENTON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150326000477 WA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1355491572 Reassigns benefits to 3 organizations
I20200507000269 VA Practitioner - Interventional Cardiology 1355491572

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of California, Irvine, California College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Medical Group-RentonGroup PAC ID 4183753965, 419 clinicians

Practice addresses (Care Compare)

4011 Talbot Rd S
Suite 420
Renton, WA 98055-5791
Phone (425) 228-6076

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting11
Leg revascularization (restoring blood flow)17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101268494VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Association of University Physicians CurrentSince Oct 20, 2016 Accepting new patients
University Vascular Services Cardiovascular Disease CurrentSince Nov 1, 2020 Accepting new patients
Valley Medical Group-Renton CurrentSince Apr 1, 2015 Accepting new patients
Washington Vascular Services and Management PS Cardiovascular Disease CurrentSince Nov 16, 2020 Accepting new patients
Wakemed Faculty Practice Plan Past Accepting new patients
Public Hospital District #1 of King County Past Accepting new patients
Piedmont Day Surgery Center Inc Past Accepting new patients

Locations

2054 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 467-3831

1040 Main St
Danville, VA 24541
Phone (434) 792-1433

800 Memorial Dr
Ste C
Danville, VA 24541
Phone (434) 528-1909

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

3600 Lind Ave SW
Ste 100
Renton, WA 98057

4011 Talbot Rd S
Ste 420
Renton, WA 98055
Phone (425) 251-1322

4011 Talbot Rd S
Ste 460
Renton, WA 98055
Phone (425) 251-5110

4011 Talbot Rd S
Ste 500
Renton, WA 98055
Phone (425) 251-5110

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

1610 Bishop Rd SW
Bldg 7
Tumwater, WA 98512
Phone (314) 323-2727

Interoperability endpoints

  • Direct secure messaging: ssubherwal53032@direct.valleymed.org

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 2

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1326138348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 LIND AVE SW",
            "address_2": "SUITE 100 ATTN CREDENTIALING",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574940",
            "telephone_number": "425-690-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 MAIN ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411816",
            "telephone_number": "434-792-1433",
            "fax_number": "434-797-2807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4011 Talbot Rd S Ste 500",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980555782",
            "country_code": "US",
            "telephone_number": "425-690-3482",
            "fax_number": "425-690-9082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUBHERWAL",
        "first_name": "SUMEET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101268494",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD60516110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2042845",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE W VALLEY MEDICAL GROUP - RENTON",
            "identifier": "G8938178",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.