NPIMap

Organization Active NPI

Subbarao Polineni, M.D. PC

Doing business as Subbarao Polineni, M.D

  • Orthopaedic Hand Surgery Physician
  • Saint Peters, MO
National Provider Identifier
1821245457
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
Legal business name
SUBBARAO POLINENI, M.D. PC
Doing business as
Subbarao Polineni, M.D
Practice address
6 Jungermann Cir
Ste 107
Saint Peters, MO 63376-1621
Phone
(636) 928-1696
NPI assigned
Aug 26, 2008
Last updated
Feb 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Authorized official

Name
Dr. Subbarao Polineni, M.DNPI 1699766980
Title
Owner
Phone
(636) 928-1696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X NU Primary

Addresses

Primary practice location

6 Jungermann Cir
Ste 107
Saint Peters, MO 63376-1621

Mailing address

6 Jungermann Cir
Ste 107
Saint Peters, MO 63376-1621
Phone (636) 928-1696

Other names 1

  • Subbarao Polineni, M.D Doing business as

National Provider Directory

National Provider Directory

Locations

6 Jungermann Cir
Ste 107
Saint Peters, MO 63376
Phone (636) 916-9334

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1821245457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 JUNGERMANN CIR",
            "address_2": "STE 107",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761621",
            "telephone_number": "636-928-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 JUNGERMANN CIR",
            "address_2": "STE 107",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761621",
            "telephone_number": "636-928-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBBARAO POLINENI, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "POLINENI",
        "authorized_official_first_name": "SUBBARAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-928-1696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Subbarao Polineni, M.D",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.