Madhuri Subbaiah, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

MO2000154891 Issued in MO

Practice address

1 Jefferson Barracks Dr
Att: 11F10-JB
Saint Louis, MO 63125-4181

Phone

(314) 894-5770

NPI assigned

Apr 3, 2006

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

Medicare fee-for-service enrollment

Enrolled in MO

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

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1568424943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JEFFERSON BARRACKS DR",
            "address_2": "ATT: 11F10-JB",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631254181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JEFFERSON BARRACKS DR",
            "address_2": "ATT: 11F10-JB",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631254181",
            "telephone_number": "314-894-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBBAIAH",
        "first_name": "MADHURI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MO",
            "license": "MO2000154891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Fidel Suarez, MD
• Elizabeth Ann Suba, AU.D., CCC-A
• Subash Joshi, MD
• Arun Subash, MD
• Kosuri V Subbaiah, MD
• Basanta Subedi, MD
• Curie Marie Subramanian, MD
• Hamsa N Subramanian, M.D.
• Sanjay Subramanian, MD
• Subha Subramanian

• Adult Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Adult Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.