Active NPI
Subhrojit Chakraborti
- Registered Dietitian
- Austin, TX
National Provider Identifier
1821965617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT92576
- Practice address
- 2105 East MLK Blvd
#111
Austin, TX 78702 - Phone
- (512) 773-7373
- NPI assigned
- Oct 17, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT92576 | TX | Primary |
Addresses
Primary practice location
2105 East MLK Blvd
#111
Austin, TX 78702
Mailing address
2105 East MLK Blvd
#111
Austin, TX 78702
Phone (512) 773-7373
Other names 1
- Subhro Chakraborti
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT92576 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vedic Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Locations
1401 21st St
Ste R
Sacramento, CA 95811
Phone (316) 516-2853
2105 E Mlk Blvd
Austin, TX 78702
Phone (512) 309-1650
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760832000000",
"number": "1821965617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 EAST MLK BLVD",
"address_2": "#111",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78702",
"telephone_number": "512-773-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 EAST MLK BLVD",
"address_2": "#111",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78702",
"telephone_number": "512-773-7373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAKRABORTI",
"first_name": "SUBHROJIT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-17",
"last_updated": "2025-10-19",
"certification_date": "2025-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT92576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUBHRO",
"last_name": "CHAKRABORTI",
"credential": "MS, RDN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.