Organization Active NPI

Priya Subramanian MD PA

  • Infectious Disease Physician
  • Bedford, TX
National Provider Identifier
1700328499
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
N2436 Issued in TX
Legal business name
PRIYA SUBRAMANIAN MD PA
Practice address
1615 Hospital Pkwy Ste 200
Bedford, TX 76022-5935
Phone
(817) 916-8877
Fax
(817) 527-2969
NPI assigned
Nov 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Authorized official

Name
Obulakshmipriya Subramanian, MDNPI 1477648392
Title
Owner
Phone
(817) 916-8877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X N2436 TX Primary

Addresses

Primary practice location

1615 Hospital Pkwy Ste 200
Bedford, TX 76022-5935

Mailing address

1615 Hospital Pkwy Ste 200
Bedford, TX 76022-5935
Phone (817) 916-8877

Other identifiers 1

IdentifierTypeStateIssuer
N2436OtherTXTEXAS MEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170130002290 TX Part B Supplier - Clinic/Group Practice 8325320393 Receives reassigned benefits from 2 practitioners
Practice locations: Bedford, TX

National Provider Directory

National Provider Directory

Locations

1615 Hospital Pkwy
Ste 200
Bedford, TX 76022
Phone (817) 382-8549

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1700328499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HOSPITAL PKWY STE 200",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225935",
            "telephone_number": "817-916-8877",
            "fax_number": "817-527-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 HOSPITAL PKWY STE 200",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225935",
            "telephone_number": "817-916-8877",
            "fax_number": "817-527-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIYA SUBRAMANIAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-10",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "SUBRAMANIAN",
        "authorized_official_first_name": "OBULAKSHMIPRIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-916-8877",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "N2436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "N2436",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.