Individual provider Active NPI

Vishon J Subramani, M.D.

  • Internal Medicine Physician
  • Sikeston, MO
National Provider Identifier
1598853368
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2005005184 Issued in MO
Practice address
125 Plaza Dr Ste 102
Sikeston, MO 63801-5136
Phone
(573) 255-2089
Fax
(888) 552-6863
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2005005184 MO Primary

Addresses

Primary practice location

125 Plaza Dr Ste 102
Sikeston, MO 63801-5136

Mailing address

16115 Rambling Vine Dr E
Tampa, FL 33624-1194
Phone (312) 498-2407

Other identifiers 1

IdentifierTypeStateIssuer
207306200MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050914000345 MO Practitioner - Internal MedicinePractitioner - Other (Physician) 3971536624 Reassigns benefits to 1 organization
I20230203002627 IL Practitioner - Internal Medicine 3971536624 Practice locations: Mount Vernon, IL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

125 S Broadview St
Suite 2
Cape Girardeau, MO 63703-5744
Phone (573) 264-2273

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bariatric & Metabolic Institute LLC CurrentSince Aug 1, 2019 Accepting new patients
Missouri Delta Medical Center Internal Medicine Past Accepting new patients
Missouri Delta Radiology Group, Inc. Past Accepting new patients
Farmington Clinic Company, LLC Past Accepting new patients
Mineral Area Osteopathic Hospital Inc Internal Medicine Past Accepting new patients

Locations

97 N Kingshighway St
Ste 7
Cape Girardeau, MO 63701
Phone (573) 264-2273

125 S Broadview St
Ste 2
Cpe Girardeau, MO 63703
Phone (573) 264-2273

135 Plaza Dr
Ste 102
Sikeston, MO 63801
Phone (573) 264-2273

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1598853368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16115 RAMBLING VINE DR E",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241194",
            "telephone_number": "312-498-2407",
            "fax_number": "888-552-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PLAZA DR STE 102",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015136",
            "telephone_number": "573-255-2089",
            "fax_number": "888-552-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBRAMANI",
        "first_name": "VISHON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2005005184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207306200",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sikeston, MO

Sources for this page

Verify at the official NPI Registry.