Active NPI
Bruno Shankar Subbarao, D.O.
- Physical Medicine & Rehabilitation Physician
- South Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- OS13628
- Practice address
- 7031 SW 62ND Ave
South Miami, FL 33143-4701 - Phone
- (305) 284-7500
- NPI assigned
- Dec 11, 2012
- Last updated
- Jan 14, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | OS13628 | FL | Primary |
Addresses
Primary practice location
7031 SW 62ND Ave
South Miami, FL 33143-4701
Mailing address
533 NE 3Rd Ave
Apt 505
Fort Lauderdale, FL 33301-3283
Phone (412) 478-9148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Lake Erie College of Osteopathic Medicine, Bradenton, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1515 W Chandler Blvd
Chandler, AZ 85224-6141
Phone (602) 594-5400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Az Rehab Consultants, LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Clearsky Rehabilitation Hospital of West Valley, LLC | Past | Accepting new patients | |
| Bruno Subbarao PLLC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Locations
1515 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 389-9529
16772 W Bell Rd
Ste 110619
Surprise, AZ 85374
Phone (602) 616-7047
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AZ Rehab Consultants
- Physical Medicine & Rehabilitation Physician
- Gilbert, AZ
- NPI 1396383402
-
- Physical Medicine & Rehabilitation Physician
- Avondale, AZ
- NPI 1669393476
-
dba ClearSky Rehabilitation Hospital of Avondale
- Rehabilitation Hospital
- Avondale, AZ
- NPI 1063168243
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba ClearSky Rehabilitation Hospital of Avondale
- Rehabilitation Hospital
- Avondale, AZ
- NPI 1063168243
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452729600000",
"number": "1407191885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 NE 3RD AVE",
"address_2": "APT 505",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333013283",
"telephone_number": "412-478-9148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7031 SW 62ND AVE",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331434701",
"telephone_number": "305-284-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUBBARAO",
"first_name": "BRUNO",
"middle_name": "SHANKAR",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-11",
"last_updated": "2016-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "OS13628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.