Subra Anandasivam MD PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

K0605 Issued in TX

Legal business name

SUBRA ANANDASIVAM MD PA

Practice address

64 S Price Rd
Ste a
Brownsville, TX 78521-2459

Phone

(956) 548-2242

Fax

(956) 548-2262

NPI assigned

Feb 17, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Subra Anandasivam, MD

Title

MD

Phone

(956) 548-2242

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Subra Anandasivam MD PA

  • Nephrology Physician
  • Brownsville, TX
  • NPI 1710270657

  O20090710000049

  Same enrollment

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Loganayaki Anandasivam, M.D.

  • Internal Medicine Physician
  • Brownsville, TX
  • NPI 1427034107
  NPD (past)

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1669611596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 S PRICE RD",
            "address_2": "STE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212459",
            "telephone_number": "956-548-2242",
            "fax_number": "956-548-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 S PRICE RD",
            "address_2": "STE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212459",
            "telephone_number": "956-548-2242",
            "fax_number": "956-548-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBRA ANANDASIVAM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "ANANDASIVAM",
        "authorized_official_first_name": "SUBRA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "956-548-2242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L5222",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "K0605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030566601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156202701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Dawn Styer
• Su Clinica Amiga LLC
• Su Clinica Familiar
• Su Clinica Familiar
• Stephanie Suarez
• Subra Anandasivam MD PA
• Alexander P Sudarshan, MD
• Summitview Behavioral Health PLLC
• Sundeep G Reddy, MD PA
• Sunlight Imaging LLC

• Nephrology Physician in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.