NPIMap

Individual provider Active NPI

Chitra Ramasubbu, MD

  • Pain Medicine (Anesthesiology) Physician
  • Canton, GA
National Provider Identifier
1467614016
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
67966 Issued in GA
Practice address
145 Riverstone Ter Ste 101
Canton, GA 30114-5327
Phone
(770) 450-4807
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 067966 GA
Pain Medicine (Anesthesiology) Physician 207LP2900X 67966 GA Primary

Addresses

Primary practice location

145 Riverstone Ter Ste 101
Canton, GA 30114-5327

Mailing address

145 Riverstone Ter Ste 101
Canton, GA 30114-5327
Phone (770) 450-4807

Other identifiers 1

IdentifierTypeStateIssuer
67966OtherGAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120925000437 GA Practitioner - AnesthesiologyPractitioner - Pain Management 3678722279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
State University of New York at Stony Brook, School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Esop Rehabilitation LLCGroup PAC ID 9739305749, shared by 9 NPIs, 224 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

145 Riverstone Ter
Suite 101
Canton, GA 30114-5327
Phone (770) 450-4807

1699 Hwy 124 N
Suite 100
Snellville, GA 30078-7921
Phone (678) 218-6702

5513 Chamblee Dunwoody Rd
Suite 430
Dunwoody, GA 30338-4106
Phone (770) 551-9633

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as individual
Quality
79.73
Promoting interoperability
100
Improvement activities
40
Cost
74.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
067966GAMDAnesthesiology Physician
67966GAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Spine and Pain Care PC Pain Medicine CurrentSince Oct 1, 2022 Accepting new patients

Locations

3905 Brookside Pkwy
Ste 203
Alpharetta, GA 30022
Phone (678) 668-4688

145 Riverstone Ter
Ste 101
Canton, GA 30114
Phone (770) 450-4807

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27392/brand/1/csg/1/fhir/r4
  • Direct secure messaging: chitra.ramasubbu.1@27392.direct.athenahealth.com

Organizations & group practices 1

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1467614016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 RIVERSTONE TER STE 101",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145327",
            "telephone_number": "770-450-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 RIVERSTONE TER STE 101",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145327",
            "telephone_number": "770-450-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMASUBBU",
        "first_name": "CHITRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "067966",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "67966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "67966",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.