NPIMap

Individual provider Active NPI

Subrahmanyeswara Srinivas Samavedi, MD

  • Urology Physician
  • Hays, KS
National Provider Identifier
1811145212
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0440636 Issued in KS
Practice address
2214 Canterbury Dr Ste 308
Hays, KS 67601-2375
Phone
(785) 628-6014
Fax
(785) 628-6094
NPI assigned
Aug 28, 2008
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0440636 KS Primary
Urology Physician 208800000X 35.096110 OH

Addresses

Primary practice location

2214 Canterbury Dr Ste 308
Hays, KS 67601-2375

Mailing address

2214 Canterbury Dr Ste 308
Hays, KS 67601-2375
Phone (785) 628-6014

Other practice location 1

770 W High St
Ste. 350
Lima, OH 45801-3990
Phone (419) 228-8950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20180221000476 KS Practitioner - Urology 0749593085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hays Medical Center IncGroup PAC ID 1557279676, 188 clinicians

Practice addresses (Care Compare)

2214 Canterbury Dr
Suite 308
Hays, KS 67601-2375
Phone (785) 628-6014

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.72 of 100Reported as apm
Quality
68.82
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection20
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0440636KSMDUrology Physician
35.096110OHMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hays Medical Center, Inc CurrentSince Mar 12, 2018 Accepting new patients
Hays Medical Center, Inc. CurrentSince Mar 12, 2018 Accepting new patients
Hays Medical Center, Inc. Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Hays Medical Center, Inc. Urology Past Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients

Locations

2214 Canterbury Dr
Ste 308
Hays, KS 67601
Phone (785) 261-7650

2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000

Interoperability endpoints

  • Direct secure messaging: subrahmany.samavedi@haysmeddirect.com
  • Direct secure messaging: subrahmanyeswara.samavedi.1@17074.direct.athenahealth.com

Organizations & group practices 6

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 5

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": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1811145212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 CANTERBURY DR STE 308",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012375",
            "telephone_number": "785-628-6014",
            "fax_number": "785-628-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 CANTERBURY DR STE 308",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012375",
            "telephone_number": "785-628-6014",
            "fax_number": "785-628-6094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 W High St",
            "address_2": "Ste. 350",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458013990",
            "country_code": "US",
            "telephone_number": "419-228-8950",
            "fax_number": "419-224-7904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMAVEDI",
        "first_name": "SUBRAHMANYESWARA",
        "middle_name": "SRINIVAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KS",
            "license": "0440636",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35.096110",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.