Active NPI
Latha Subramaniam, M.D.
- Cardiovascular Disease Physician
- Danbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 72463
- Practice address
- 111 Osborne St
Danbury, CT 06810-6000 - Phone
- (203) 739-7155
- NPI assigned
- Jun 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 282318 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301098711 | MI | |
| Cardiovascular Disease Physician | 207RC0000X | 72463 | CT | Primary |
Addresses
Primary practice location
111 Osborne St
Danbury, CT 06810-6000
Mailing address
1 Kennedy Ave Unit 4006
Danbury, CT 06810-5897
Phone (609) 851-6709
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Ohio State University College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Osborne St
Suite 121
Danbury, CT 06810-6019
Phone (203) 739-7038
Hospital & facility affiliations
- Danbury Hospital
- Griffin Hospital
- Putnam Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72463 | CT | MD | Cardiovascular Disease Physician |
| 282318 | NY | MD | Cardiovascular Disease Physician |
| 4301098711 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Queens Medicine and Surgery, P.C. | Current | Accepting new patients | |
| New York Queens Medicine and Surgery, P.C. | Current | Accepting new patients | |
| Nuvance Health Medical Practice CT, Inc. | Cardiovascular Disease | Current | Accepting new patients |
Locations
111 Osborne St
Danbury, CT 06810
Phone (203) 739-7131
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
111 Osborne St
Ste 121
Danbury, CT 06810
Phone (203) 739-7010
16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121
1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Danbury, CT
- NPI 1407898117
Cardiovascular Disease
-
- Pediatrics Physician
- Fresh Meadows, NY
- NPI 1003114851
-
- Multi-Specialty Clinic/Center
- Flushing, NY
- NPI 1740792233
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
-
- General Acute Care Hospital
- Carmel, NY
- NPI 1972557379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1366736258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 KENNEDY AVE UNIT 4006",
"city": "DANBURY",
"state": "CT",
"postal_code": "068105897",
"telephone_number": "609-851-6709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 OSBORNE ST",
"city": "DANBURY",
"state": "CT",
"postal_code": "068106000",
"telephone_number": "203-739-7155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUBRAMANIAM",
"first_name": "LATHA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-08",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "282318",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4301098711",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CT",
"license": "72463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.