Individual provider Active NPI

Subhash R Viswanathan, M.D.

  • Emergency Medicine Physician
  • Jericho, NY
National Provider Identifier
1508866542
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C149731 Issued in CA
Practice address
555 N Broadway
Jericho, NY 11753-2134
Phone
(516) 597-5070
Fax
(516) 597-5067
NPI assigned
Jul 29, 2005
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA07825900 NJ
Emergency Medicine Physician 207P00000X 248884 NY
Emergency Medicine Physician 207P00000X C149731 CA Primary

Addresses

Primary practice location

555 N Broadway
Jericho, NY 11753-2134

Mailing address

555 N Broadway
Jericho, NY 11753-2134
Phone (516) 597-5070

Other identifiers 1

IdentifierTypeStateIssuer
0053783MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050127000199 NJ Practitioner - Emergency Medicine 8123078185 Reassigns benefits to 2 organizations
I20130826000336 NY Practitioner - Emergency Medicine 8123078185 Reassigns benefits to 2 organizations
I20171117002945 CA Practitioner - Emergency Medicine 8123078185 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Pennsylvania State University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ignite Emergency Physicians a Medical CorporationGroup PAC ID 2365988326, 46 clinicians
Em Alliance California ApcGroup PAC ID 1951749894, 68 clinicians

Practice addresses (Care Compare)

1117 E Devonshire Ave
Hemet, CA 92543-3083
Phone (951) 652-2811

16850 Bear Valley Rd
Victorville, CA 92395-5794
Phone (760) 241-8000

36485 Inland Valley Dr
Wildomar, CA 92595-9681
Phone (951) 677-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.65
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C149731CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Jun 15, 2022 Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince May 1, 2015 Accepting new patients
Corona Regional Emergency Medical Associates Inc Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Apex Emergency Medical Group, Inc. Emergency Medicine CurrentSince May 1, 2018 Accepting new patients
Optum Urgent Care, PLLC CurrentSince May 5, 2014 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Mar 11, 2024 Accepting new patients
Em Alliance California, Apc Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Ignite Emergency Physicians a Medical Corporation CurrentSince Nov 1, 2025 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Mar 5, 2024 Accepting new patients
Emergency Physician Associates of North Jersey P C Emergency Medicine CurrentSince Jun 1, 2016 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America-California Emergency Medicine CurrentSince Mar 5, 2024 Accepting new patients
Emergency Associates of Montclair LLC Emergency Medicine CurrentSince Aug 23, 2016 Accepting new patients
Team Physicians of Northern California Medical Group Inc Emergency Medicine CurrentSince Oct 1, 2017 Accepting new patients
Victory Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Apr 16, 2024 Accepting new patients
Grand Avenue Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Jan 16, 2024 Accepting new patients
Riverside Emergency Physicians Medical Group Emergency Medicine CurrentSince Aug 1, 2018 Accepting new patients
Emergency Medicine Physicians of New Haven County,LLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Alle-Kiski, LTD Emergency Medicine Past Accepting new patients
Metropolitan Community Medical Care LLC PastSince Oct 1, 2007 Accepting new patients
Philadelphia Health & Education Corporation Past Accepting new patients
Roxborough Emergency Physician Associates, LLC Emergency Medicine Past Accepting new patients
Hoboken Emergency Physicians, PC Emergency Medicine Past Accepting new patients

Locations (25 of 28)

2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

1801 W Olympic Blvd
#2611
Pasadena, CA 91199

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

1100 Magellan Dr
Tehachapi, CA 93561
Phone (661) 823-3000

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

530 New Brunswick Ave
Perth Amboy, NJ 08861
Phone (732) 324-5007

99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

66 W Gilbert St
Fl 2
Tinton Falls, NJ 07701
Phone (732) 212-0051

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

Organizations & group practices 24

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.

View all 24

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1508866542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N BROADWAY",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532134",
            "telephone_number": "516-597-5070",
            "fax_number": "516-597-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N BROADWAY",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532134",
            "telephone_number": "516-597-5070",
            "fax_number": "516-597-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISWANATHAN",
        "first_name": "SUBHASH",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA07825900",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "248884",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C149731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0053783",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, NY

Sources for this page

Verify at the official NPI Registry.