Individual provider Active NPI

Subbarao Chavali, M.D.

  • Cardiovascular Disease Physician
  • Bay City, MI
National Provider Identifier
1669490769
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301055651 Issued in MI
Practice address
200 S Wenona St
Suite G 28
Bay City, MI 48706-8820
Phone
(989) 893-8116
Fax
(989) 893-8151
NPI assigned
Jul 17, 2006
Last updated
Apr 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301055651 MI Primary

Addresses

Primary practice location

200 S Wenona St
Suite G 28
Bay City, MI 48706-8820

Mailing address

200 S. Wenona
Suite G-28
Bay City, MI 48706-8831
Phone (989) 893-8116

Other identifiers 4

IdentifierTypeStateIssuer
0600901521OtherMIBLUE CROSS AND BLUE CARE
0982786OtherMIHEALTH PLUS
P00294280OtherMITRAVELERS MEDICARE
4270309MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20040427001133 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4082601562 Practice locations: Bay City, MI

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2110 16TH St
Suite 5
Bay City, MI 48708-7609
Phone (989) 893-8116

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301055651MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Cardiovascular Institute, PC Cardiovascular Disease Past Accepting new patients
Brent J Raap DO PC Past Accepting new patients
Wellness Family Practice P.C. PastSince Jan 1, 2009 Accepting new patients
Sheryl Hasegawa Arthur DO PLLC PastSince Apr 1, 2011 Accepting new patients

Organizations & group practices 4

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 4

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1669490769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S. WENONA",
            "address_2": "SUITE G-28",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487068831",
            "telephone_number": "989-893-8116",
            "fax_number": "989-893-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S WENONA ST",
            "address_2": "SUITE G 28",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487068820",
            "telephone_number": "989-893-8116",
            "fax_number": "989-893-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVALI",
        "first_name": "SUBBARAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301055651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE CARE",
            "identifier": "0600901521",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "0982786",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "P00294280",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4270309",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.