NPIMap

Individual provider Active NPI

V. Bala Subramanian, M.D.

  • Nephrology Physician
  • Alexandria, VA
National Provider Identifier
1629021530
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101229647 Issued in VA
Practice address
4141 Duke St
Alexandria, VA 22304-2415
Phone
(703) 461-3556
Fax
(703) 461-8075
NPI assigned
May 19, 2006
Last updated
Jan 30, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101229647 VA Primary

Addresses

Primary practice location

4141 Duke St
Alexandria, VA 22304-2415

Mailing address

4915 Auburn Ave
Suite 200
Bethesda, MD 20814-2636
Phone (301) 907-3939

Other identifiers 1

IdentifierTypeStateIssuer
5849519MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101021000166 DC Practitioner - NephrologyPractitioner - Internal Medicine 8426070749 Reassigns benefits to 1 organization
I20120308000132 VA Practitioner - NephrologyPractitioner - Internal Medicine 8426070749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Washington Nephrology Associates LLPGroup PAC ID 8527951318, 31 clinicians

Practice addresses (Care Compare)

2030 Opitz Blvd
Woodbridge, VA 22191-3306
Phone (703) 490-9080

4141 A Duke St
Alexandria, VA 22304-2415
Phone (703) 461-3556

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Nephrology Associates, L.L.P. Nephrology CurrentSince Oct 23, 2000 Accepting new patients
Mwrdc of Annapolis Nephrology Past Accepting new patients
Northern Virginia Neurology, PLLC PastSince Oct 1, 2017 Accepting new patients

Locations

4915 Auburn Ave
Ste 200
Bethesda, MD 20814
Phone (301) 907-3939

4141A Duke St
Alexandria, VA 22304
Phone (703) 461-3556

1910 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 490-9080

2030 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 490-9080

Interoperability endpoints

  • Direct secure messaging: vsubramanian17159@direct.acumenmd.com

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1629021530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 AUBURN AVE",
            "address_2": "SUITE 200",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142636",
            "telephone_number": "301-907-3939",
            "fax_number": "301-656-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 DUKE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042415",
            "telephone_number": "703-461-3556",
            "fax_number": "703-461-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBRAMANIAN",
        "first_name": "V.",
        "middle_name": "BALA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101229647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5849519",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.