Organization Active NPI

Subra Anandasivam MD PA

  • Nephrology Physician
  • Brownsville, TX
National Provider Identifier
1710270657
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
SUBRA ANANDASIVAM MD PA
Practice address
64 S Price Rd
Suite a
Brownsville, TX 78521-2459
Phone
(956) 548-2242
Fax
(956) 548-2262
NPI assigned
May 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Subra Anandasivam, MD PA
Title
Doctor
Phone
(956) 548-2242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

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

Mailing address

64 S Price Rd
Suite a
Brownsville, TX 78521-2459
Phone (956) 548-2242

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090710000049 TX Part B Supplier - Clinic/Group Practice 1254483969 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Brownsville, TX

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

1900 N Expressway
Ste D
Brownsville, TX 78521
Phone (956) 548-2242

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1710270657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 S PRICE RD",
            "address_2": "SUITE 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": "SUITE 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": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "ANANDASIVAM",
        "authorized_official_first_name": "SUBRA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "956-548-2242",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.