Subramanyam Segu, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD036091L Issued in PA

Practice address

2409 State St
Erie, PA 16503-1856

Phone

(814) 452-6320

Fax

(814) 453-7966

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1396796520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165031856",
            "telephone_number": "814-452-6320",
            "fax_number": "814-453-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165031856",
            "telephone_number": "814-452-6320",
            "fax_number": "814-453-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGU",
        "first_name": "SUBRAMANYAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD036091L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL BLUE SHIELD#",
            "identifier": "141377",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Sedgwick, PHARMD
• Amy Seeley
• Jill Marie Seeley, LSW
• Michaela Seeley, LPC
• Lacey Robin Segesdy, CRNP
• Mary Kathryn Sehn, CNM
• Celeste Marie Seibold, M.A.
• Casey Seizys, MD
• Richard A. Sekula, PHD
• Select Specialty Hospital - Erie Inc

• Specialist in Erie, PA
• Providers in Erie, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.

Verify at the official NPI Registry.