NPIMap

Individual provider Active NPI

P Subakeesan, MD

  • Pulmonary Disease Physician
  • Greenfield, MA
National Provider Identifier
1366471427
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
1017317 Issued in MA
Practice address
48 Sanderson St Ste 102
Greenfield, MA 01301-2779
Phone
(413) 794-7330
Fax
(413) 773-2691
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 050563 CT
Pulmonary Disease Physician 207RP1001X 050563 CT
Sleep Medicine (Internal Medicine) Physician 207RS0012X 1017317 MA
Pulmonary Disease Physician 207RP1001X 1017317 MA Primary

Addresses

Primary practice location

48 Sanderson St Ste 102
Greenfield, MA 01301-2779

Mailing address

280 Chestnut St FL 2
Springfield, MA 01199-1001
Phone (413) 794-5700

Other names 1

  • Subakeesan P Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 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
I20120220000740 CT Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2062473309 Reassigns benefits to 2 organizations
I20240220001911 MA Practitioner - Pulmonary Disease 2062473309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Day Kimball Medical Group IncGroup PAC ID 1557514411, 91 clinicians
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians

Practice addresses (Care Compare)

346 Pomfret St
Putnam, CT 06260-1871
Phone (860) 928-1526

48 Sanderson St
Greenfield, MA 01301-2778
Phone (413) 773-2626

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
050563CTMDPulmonary Disease Physician
1017317MAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Day Kimball Healthcare, Inc. CurrentSince Feb 1, 2012 Accepting new patients
Day Kimball Medical Group Inc Critical Care Medicine CurrentSince Jan 1, 2013 Accepting new patients
Day Kimball Healthcare, Inc. Pulmonary Disease CurrentSince Feb 1, 2012 Accepting new patients
University Pathologists, LLC Current Accepting new patients
Day Kimball Healthcare, Inc. Current Accepting new patients
Baystate Medical Practices, Inc CurrentSince Feb 6, 2024 Accepting new patients
Bay Ridge Fourth Avenue Medical Associates, P. C. Critical Care Medicine Past Accepting new patients
Evergreen Physicians of North Jersey, PC PastSince Dec 8, 2006 Accepting new patients
Georgia Emergency Group, LLC PastSince Feb 2, 2020 Accepting new patients

Locations

132 Westminster Rd
Canterbury, CT 06331
Phone (860) 546-2225

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

346 Pomfret St
Putnam, CT 06260
Phone (860) 928-0815

320 Pomfret St
#2
Putnam, CT 06260

48 Sanderson St
Ste 102
Greenfield, MA 01301
Phone (413) 794-7330

48 Sanderson St
Greenfield, MA 01301
Phone (413) 773-2022

280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

Interoperability endpoints

  • Direct secure messaging: psubakeesan562897@nychhc.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4

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 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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1366471427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT ST FL 2",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 SANDERSON ST STE 102",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012779",
            "telephone_number": "413-794-7330",
            "fax_number": "413-773-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBAKEESAN",
        "first_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CT",
            "license": "050563",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "050563",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MA",
            "license": "1017317",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "1017317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUBAKEESAN",
            "last_name": "P",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.