NPIMap

Individual provider Active NPI

Subodh Kumar Debnath, M.D.

  • Internal Medicine Physician
  • Horseheads, NY
National Provider Identifier
1801050448
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD437923 Issued in PA
Practice address
100 John Roemmelt Dr
Suite 301
Horseheads, NY 14845-8301
Phone
(607) 739-0352
Fax
(607) 739-6909
NPI assigned
Jul 14, 2008
Last updated
Apr 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 253780 NY
Internal Medicine Physician 207R00000X MD437923 PA Primary

Addresses

Primary practice location

100 John Roemmelt Dr
Suite 301
Horseheads, NY 14845-8301

Mailing address

571 Saint Josephs Blvd FL 2
Elmira, NY 14901-3230
Phone (607) 271-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220302000829 PA Practitioner - Internal Medicine 1850438565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians

Practice addresses (Care Compare)

101 E Olney Ave
Philadelphia, PA 19120-2470
Phone (215) 927-1937

125 Medical Campus Dr
Suite 215
Lansdale, PA 19446-7205
Phone (215) 368-4434

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

201 2ND Ave
Collegeville, PA 19426-3613
Phone (610) 489-7703

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD437923PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Community Health Associates, Inc Internal Medicine CurrentSince Dec 15, 2024 Accepting new patients
Einstein Community Health Associates, Inc CurrentSince Dec 15, 2024 Accepting new patients
Chemung Medical Services PC Internal Medicine Past Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients
Womencare OB GYN, P.C. Past Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

125 Medical Campus Dr
Ste 215
Lansdale, PA 19446
Phone (215) 368-4434

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1801050448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 SAINT JOSEPHS BLVD FL 2",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013230",
            "telephone_number": "607-271-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JOHN ROEMMELT DR",
            "address_2": "SUITE 301",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148458301",
            "telephone_number": "607-739-0352",
            "fax_number": "607-739-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBNATH",
        "first_name": "SUBODH",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "253780",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD437923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horseheads, NY

Sources for this page

Verify at the official NPI Registry.