Individual provider Active NPI

Vairavan Saravanan Subramanian Jr., M.D.

  • Urology Physician
  • Plano, TX
National Provider Identifier
1821282849
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
N8994 Issued in TX
Practice address
4708 Alliance Blvd
Ste 685
Plano, TX 75093
Phone
(972) 566-7765
Fax
(469) 467-9437
NPI assigned
Sep 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X N8994 TX Primary

Addresses

Primary practice location

4708 Alliance Blvd
Ste 685
Plano, TX 75093

Mailing address

3600 Gaston Ave Ste 1205
Dallas, TX 75246-1812
Phone (214) 692-8262

Other identifiers 1

IdentifierTypeStateIssuer
663120OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110802000592 TX Practitioner - Urology 4981873270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Baylor College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Clinics of North Texas, PLLCGroup PAC ID 5496736415, 72 clinicians

Practice addresses (Care Compare)

12606 Greenville Ave
Suite 160
Dallas, TX 75243-1915
Phone (214) 691-9377

6124 W Parker Rd
Plano, TX 75093-8124
Phone (214) 691-1902

7777 Forest LN
Suite A230
Dallas, TX 75230-2568
Phone (972) 566-7765

7777 Forest LN
Suite C565
Dallas, TX 75230-6847
Phone (972) 566-7765

8230 Walnut Hill Lane
Suite 700
Dallas, TX 75231-4436
Phone (214) 691-1902

Hospital & facility affiliations

  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Merit-based Incentive Payment System (MIPS)

Final score
90.14 of 100Reported as group
Quality
97.48
Promoting interoperability
100
Improvement activities
40
Cost
69.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Clinics of North Texas, PLLC Urology Current Accepting new patients
Urology Clinics of North Texas, PLLC Urology Current Accepting new patients
Urology Clinics of North Texas, PLLC CurrentSince Jun 18, 2018 Accepting new patients
Urology Clinics of North Texas PLLC Past Accepting new patients
Urology Associates of North Texas LLP Urology Past Accepting new patients

Locations

3600 Gaston Ave
Ste 1205
Dallas, TX 75246

7777 Forest Ln
Ste A230
Dallas, TX 75230
Phone (972) 566-7765

9900 N Central Expy
Ste 130
Dallas, TX 75231

9900 N Central Expy
Ste 120
Dallas, TX 75231
Phone (214) 580-2265

12606 Greenville Ave
Ste 185
Dallas, TX 75243
Phone (214) 739-1706

4312 Heritage Trace Pkwy
Ste 700
Fort Worth, TX 76244
Phone (214) 692-6282

1650 Republic Pkwy
Ste 130
Mesquite, TX 75150

1650 Republic Pkwy
Ste 150
Mesquite, TX 75150
Phone (214) 692-8262

6957 W Plano Pkwy
Ste 1300
Plano, TX 75093
Phone (972) 820-1400

4708 Alliance Blvd
Ste 835
Plano, TX 75093
Phone (972) 309-0005

4708 Alliance Blvd
Ste 685
Plano, TX 75093
Phone (214) 540-0623

6124 W Parker Rd
Ste 434
Plano, TX 75093
Phone (214) 750-0808

Interoperability endpoints

  • Direct secure messaging: vairavan.subramanianmd.p1@direct.urologyclinics.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1188777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1821282849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE STE 1205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461812",
            "telephone_number": "214-692-8262",
            "fax_number": "214-696-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD",
            "address_2": "STE 685",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "972-566-7765",
            "fax_number": "469-467-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBRAMANIAN",
        "first_name": "VAIRAVAN",
        "middle_name": "SARAVANAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-03",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "N8994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "663120",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.