Individual provider Active NPI

Subrahmanyam Behara, MD

  • Gastroenterology Physician
  • Edinburg, TX
National Provider Identifier
1447278346
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G1853 Issued in TX
Practice address
5520 Leonardo Da Vinci
Ste 100
Edinburg, TX 78539-1422
Phone
(956) 362-3636
Fax
(956) 362-2699
NPI assigned
Jul 18, 2006
Last updated
Jan 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G1853 TX Primary

Addresses

Primary practice location

5520 Leonardo Da Vinci
Ste 100
Edinburg, TX 78539-1422

Mailing address

PO Box 6139
McAllen, TX 78502-6139
Phone (956) 362-2171

Other identifiers 2

IdentifierTypeStateIssuer
110109904MedicaidTX
110109905MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20100222000470 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 5890761928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance GastroenterologyGroup PAC ID 7810110780, 19 clinicians

Practice addresses (Care Compare)

5520 Leonardo Da Vinci
Suite 100
Edinburg, TX 78539-1422
Phone (956) 362-3636

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
88.93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy58
Upper gastrointestinal (GI) endoscopy for acid reflux33
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Gastroenterology Gastroenterology CurrentSince Feb 8, 2014 Accepting new patients
Josegauri PA PastSince Nov 28, 2010 Accepting new patients
South Texas Gastroenterology Associates PA Gastroenterology Past Accepting new patients

Locations

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

5520 Leonardo Da Vinci
Ste 100
Edinburg, TX 78539

Interoperability endpoints

  • Direct secure messaging: s.behara@dhr.cernerdirect.com

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.

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1447278346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6139",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785026139",
            "telephone_number": "956-362-2171",
            "fax_number": "956-362-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 LEONARDO DA VINCI",
            "address_2": "STE 100",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391422",
            "telephone_number": "956-362-3636",
            "fax_number": "956-362-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHARA",
        "first_name": "SUBRAHMANYAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "G1853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110109904",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110109905",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.