Individual provider Active NPI

Yamini Subbiah, MD

  • Gastroenterology Physician
  • Phoenix, AZ
National Provider Identifier
1629268503
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
46889 Issued in AZ
Practice address
19646 N 27TH Ave
Suite 301 Dr. Subbiah-Gastroenterology (Care for Women)
Phoenix, AZ 85027-4017
Phone
(623) 780-5528
Fax
(623) 780-5529
NPI assigned
Jul 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD432305 PA
Gastroenterology Physician 207RG0100X 46889 AZ Primary

Addresses

Primary practice location

19646 N 27TH Ave
Suite 301 Dr. Subbiah-Gastroenterology (Care for Women)
Phoenix, AZ 85027-4017

Mailing address

2500 W Utopia Rd
Suite 100
Phoenix, AZ 85027-4171
Phone (623) 434-6200

Other identifiers 2

IdentifierTypeStateIssuer
771866MedicaidAZ
1020082610001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1629268503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W UTOPIA RD",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274171",
            "telephone_number": "623-434-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19646 N 27TH AVE",
            "address_2": "SUITE 301 DR. SUBBIAH-GASTROENTEROLOGY (CARE FOR WOMEN)",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274017",
            "telephone_number": "623-780-5528",
            "fax_number": "623-780-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBBIAH",
        "first_name": "YAMINI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD432305",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "46889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "771866",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020082610001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.