Geetha Subramanyam, M.D.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

G6026 Issued in TX

Practice address

1015 Medical Center Blvd
Suite 1300
Webster, TX 77598-4052

Phone

(281) 557-2527

Fax

(281) 557-7203

NPI assigned

Jan 27, 2006

Last updated

Feb 28, 2017By the provider in NPPES

Sex

Female

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 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/HIJIBD

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.

• C H Wilkinson Physician Network

  dba CHRISTUS Physician Group

  • Family Medicine Physician
  • Irving, TX
  • NPI 1457382947

  Geriatric Medicine

  NPD (past)
• Coastal Gastroenterology Associates, PA

  • Gastroenterology Physician
  • Webster, TX
  • NPI 1043312515
  NPD (past)
• Village Chiropractic and Wellness P.L.L.C.

  dba Cornerstone Chiropractic

  • Chiropractor
  • League City, TX
  • NPI 1972750719
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1487625794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 MEDICAL CENTER BLVD",
            "address_2": "SUITE 1300",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984052",
            "telephone_number": "281-557-2527",
            "fax_number": "281-557-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 MEDICAL CENTER BLVD",
            "address_2": "SUITE 1300",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984052",
            "telephone_number": "281-557-2527",
            "fax_number": "281-557-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBRAMANYAM",
        "first_name": "GEETHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "G6026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK ID",
            "identifier": "2322391",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0068LB",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101250208",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Strboardtack LLC (zounds hearing)
• Megan Strother, CST
• Crayton Richard Strouse, AGACNP-BC
• Chester Lee Strunk Jr., M.D.
• Anastasia Stumpenhaus, AGACNP-BC
• Kalyanam Subramanyam VI, M.D.
• Audriana Suhey, NP
• Kausar Suleman, M.D.
• Monica Maged Suliman, MD
• Charise N Sullivan, PA-C

• Geriatric Medicine (Family Medicine) Physician in Webster, TX
• Providers in Webster, TX by specialty
• Geriatric Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.