NPIMap

Individual provider Active NPI

Subramaniam Jagadeesan, MD

  • Internal Medicine Physician
  • Mission, TX
National Provider Identifier
1609893049
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L7763 Issued in TX
Practice address
2121 E Griffin Pkwy Ste 10
Mission, TX 78572-3072
Phone
(956) 583-7393
Fax
(956) 583-7309
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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 L7763 TX Primary

Addresses

Primary practice location

2121 E Griffin Pkwy Ste 10
Mission, TX 78572-3072

Mailing address

PO Box 850001, Dept 8340
Orlando, FL 32885-0001
Phone (855) 536-7277

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address subramaniam.jagadeesan@mcmgfl.eclinicaldirectplus.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040317001333 TX Practitioner - Internal Medicine 5395635916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mycare Medical of Texas PLLCGroup PAC ID 6103206610, 27 clinicians

Practice addresses (Care Compare)

2121 E Griffin Pkwy
Suite 10
Mission, TX 78572-3072
Phone (956) 583-7393

Hospital & facility affiliations

  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869
  • Mission Regional Medical Center Hospital, Mission, TX, CCN 450176
  • Rio Grande Regional Hospital Hospital, McAllen, TX, CCN 450711
  • South Texas Health System Hospital, Edinburg, TX, CCN 450119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L7763TXMDInternal Medicine Physician

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 8

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1609893049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001, DEPT 8340",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850001",
            "telephone_number": "855-536-7277",
            "fax_number": "855-830-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E GRIFFIN PKWY STE 10",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723072",
            "telephone_number": "956-583-7393",
            "fax_number": "956-583-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGADEESAN",
        "first_name": "SUBRAMANIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L7763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "subramaniam.jagadeesan@mcmgfl.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2121 E Griffin Pkwy Ste 10",
            "city": "Mission",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785723072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.