Mani N Subramanian, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

036058679 Issued in IL

Practice address

150 N River Rd
Suite #240
Des Plaines, IL 60016-1272

Phone

(847) 391-9877

Fax

(847) 391-9177

NPI assigned

Dec 5, 2005

Last updated

Jul 2, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Mani N Subramanian MD SC

  • Specialist
  • Des Plaines, IL
  • NPI 1477617629
  Authorized official Same address or phone
• Arvind Patel M.D.S.C.

  • Multi-Specialty Clinic/Center
  • Des Plaines, IL
  • NPI 1174549943
  NPD (past)
• Clinical Associates, S.C.

  • Multi-Specialty Clinic/Center
  • Des Plaines, IL
  • NPI 1750492278
  NPD (past)

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1730163676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1872 BIG BEND DR",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600163517",
            "telephone_number": "847-640-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N RIVER RD",
            "address_2": "SUITE #240",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161272",
            "telephone_number": "847-391-9877",
            "fax_number": "847-391-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBRAMANIAN",
        "first_name": "MANI",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036058679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004405317",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01627643",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036058679 3",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110248785",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen a. Vile MD SC
• Richard Leo Stiles, DDS
• Christie Stocking, OTR/L
• Andrea Strainer
• Su Salud Physician Partners SC
• Susila Subramanian, M.D.
• Suburban Eye Consultants S.C. (The Midwest Center for Sight)
• Suburban Eye Consultants S.C. (The Midwest Center for Sight)
• Suburban Family Dental
• Suburban Medical Center, S.C

• Specialist in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.