NPIMap

Subodh Kumar Debnath, M.D.

Individual provider Active NPI Internal Medicine Physician · Horseheads, NY

NPI 1801050448 · NPPES record last updated Apr 26, 2022

Key facts

NPI
1801050448
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
MD437923 (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
Sex
Male
Sole proprietor
No

Organizations & group practices 22

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 4

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

Medicare Care Compare profile

Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Einstein Community Health Associates Inc (196 clinicians)
Phoenix Rehabilitation and Health Services Inc (2,775 clinicians)
Novacare Outpatient Rehabilitation East, Inc. (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

  • Jefferson Health at Home by Bayada Home health agency · Horsham, PA · CCN 397145
  • Bayada Home Health Care, Inc. Home health agency · Blue Bell, PA · CCN 398276
  • Jefferson Lansdale Hospital Hospital · Lansdale, PA · CCN 390012

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

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

Specialties & licenses

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

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

Other identifiers

IdentifierTypeStateIssuer
03140127MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 26, 2022.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03140127",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Horseheads, NY

All providers in Horseheads, NY · Internal Medicine Physician in New York

Sources for this page

Verify at the official NPI Registry.