Individual provider Active NPI

Jeevarathna Subramanian, MD

  • Internal Medicine Physician
  • Benicia, CA
National Provider Identifier
1790752186
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
205398 Issued in CA
Practice address
1100 Rose Dr Ste 140
Benicia, CA 94510-3623
Phone
(707) 427-4900
NPI assigned
Mar 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 205398 CA Primary

Addresses

Primary practice location

1100 Rose Dr Ste 140
Benicia, CA 94510-3623

Mailing address

1100 Rose Dr Ste 140
Benicia, CA 94510-3623
Phone (616) 634-0577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180126002046 MA Practitioner - Internal Medicine 7911004429
I20260409000529 CA Practitioner - Internal Medicine 7911004429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

2702 Low CT
Fairfield, CA 94534-9771
Phone (707) 432-2600

2720 Low CT
Fairfield, CA 94534-9771
Phone (707) 428-2731

Hospital & facility affiliations

  • Vna Care Network Home health agency, Worcester, MA, CCN 227098
  • Sutter Care at Home Home health agency, Concord, CA, CCN 057004
  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Umass Memorial Health - Harrington Hospital Hospital, Southbridge, MA, CCN 220019
  • St Vincent Hospital Hospital, Worcester, MA, CCN 220176
  • Marlborough Hospital Hospital, Marlborough, MA, CCN 220049

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Umass Memorial Medical Center, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jsubramanian206844@umassmemorial.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1790752186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ROSE DR STE 140",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945103623",
            "telephone_number": "616-634-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ROSE DR STE 140",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945103623",
            "telephone_number": "707-427-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBRAMANIAN",
        "first_name": "JEEVARATHNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "205398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benicia, CA

Sources for this page

Verify at the official NPI Registry.