Individual provider Active NPI

Asha Subramanian, M.D.

  • Family Medicine Physician
  • Washington, DC
National Provider Identifier
1679504211
Registry record updated Jul 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD034229 Issued in DC
Practice address
2155 Champlain St NW
Washington, DC 20009-2795
Phone
(202) 540-9857
Fax
(202) 232-8494
NPI assigned
Jul 5, 2006
Last updated
Jul 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD034229 DC Primary

Addresses

Primary practice location

2155 Champlain St NW
Washington, DC 20009-2795

Mailing address

2155 Champlain St NW
Washington, DC 20009-2795
Phone (202) 540-9857

Other identifiers 1

IdentifierTypeStateIssuer
037409300MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20050928000662 DC Practitioner - Family Practice 1658306725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oregon Health Sciences University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community of Hope, IncGroup PAC ID 5092612762, 54 clinicians

Practice addresses (Care Compare)

2155 Champlain St NW
Marie Reed HLTH Ctr
Washington, DC 20009-2795
Phone (202) 407-7747

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD034229DCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community of Hope Inc. Family Medicine CurrentSince Apr 27, 2022 Accepting new patients
Community of Hope, Inc. Family Medicine Current Accepting new patients
Community of Hope Inc. CurrentSince Apr 27, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2120 Bladensburg Rd NE
Washington, DC 20018
Phone (202) 407-3080

2155 Champlain St NW
Washington, DC 20009
Phone (202) 407-3080

4 Atlantic St SW
Washington, DC 20032
Phone (202) 407-3080

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657929600000",
    "number": "1679504211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 CHAMPLAIN ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092795",
            "telephone_number": "202-540-9857",
            "fax_number": "202-232-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 CHAMPLAIN ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092795",
            "telephone_number": "202-540-9857",
            "fax_number": "202-232-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBRAMANIAN",
        "first_name": "ASHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-07-16",
        "certification_date": "2022-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD034229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037409300",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.