Active NPI
Rathidevi Subramani
- Dentist
- Batavia, IL
National Provider Identifier
1669736088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019029085
- Practice address
- 853 N Randall Rd
Batavia, IL 60510-1992 - Phone
- (630) 879-2222
- NPI assigned
- Jun 29, 2012
- Last updated
- Feb 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019029085 | IL | Primary |
Addresses
Primary practice location
853 N Randall Rd
Batavia, IL 60510-1992
Mailing address
866 Oak Ridge Blvd
Elgin, IL 60120-9219
Phone (847) 739-6272
Other names 1
- Dr. Rathidevi Subramani
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160404001424 | IL | Order and Referring Only - Oral Surgery | 7113224213 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019029085 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Design 32 Dental P.C. | Dentist | Current | Accepting new patients |
| Pacer Dental P.C. | Past | Accepting new patients |
Locations
1336 N Route 59
Ste 100
Naperville, IL 60563
Phone (847) 890-2186
Organizations & group practices 2
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.
-
- Dentist
- Naperville, IL
- NPI 1093568321
-
- Dental Clinic/Center
- Batavia, IL
- NPI 1992122337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1669736088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "866 OAK RIDGE BLVD",
"city": "ELGIN",
"state": "IL",
"postal_code": "601209219",
"telephone_number": "847-739-6272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "853 N RANDALL RD",
"city": "BATAVIA",
"state": "IL",
"postal_code": "605101992",
"telephone_number": "630-879-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUBRAMANI",
"first_name": "RATHIDEVI",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-29",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019029085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RATHIDEVI",
"last_name": "SUBRAMANI",
"prefix": "DR.",
"credential": "D.D.S",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Batavia, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.