MANGALORE JAIRAM SUBBARAO M.D. - NPI 1194771113

Q: What is Mangalore Subbarao's NPI number?

The NPI number for Mangalore Subbarao is 1194771113. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Q: What is Mangalore Subbarao's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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About Mangalore Jairam Subbarao M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANGALORE JAIRAM SUBBARAO M.D. (NPI 1194771113) is an individual surgery provider in Knox, Indiana, licensed in Indiana (01041718) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194771113

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameMANGALORE JAIRAM SUBBARAOCredential: M.D.

Location Address104 E CULVER RD, SUITE 102Knox, IN 46534-2241

Mailing Address2022 Kelle DrChesterton, IN 46304-8708 · (219) 326-2312 · Fax (219) 326-2584

Phone(574) 772-1580

Fax(574) 772-1581

Sole ProprietorNo

Enumeration DateMay 25, 2006

Last NPPES UpdateSeptember 14, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2021

✔ NPI 1194771113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in IN · 01041718

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

104 E CULVER RD, Knox, IN 46534

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Other Identifiers 2

Medicaid100383520IN

Other000000682354IN · Anthem

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mangalore Jairam Subbarao M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46534 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS S SPENCER MD

Obstetrics & Gynecology

104 E CULVER RD, SUITE 103
KNOX, IN 46534

Starke County (574) 772-2114

STARKE PHYSICIAN PRACTICES LLC

Obstetrics & Gynecology

104 E CULVER RD, SUITE 103
KNOX, IN 46534

Starke County (574) 772-2114

STARKE PHYSICIAN PRACTICES LLC

Surgery

104 E CULVER RD, SUITE 102
KNOX, IN 46534

Starke County (574) 772-1270

CNI STARKE, LLC

Surgery

104 E CULVER RD, SUITE 102
KNOX, IN 46534

Starke County (574) 772-1580

NIKKOLE RENEE CHAMBERS FPN

Nurse Practitioner (Family)

104 E CULVER RD
KNOX, IN 46534

Starke County (574) 772-7400

BROOKE V BUTLER FNP

Nurse Practitioner (Family)

104 E CULVER RD, 106
KNOX, IN 46534

Starke County (574) 772-7400

HEALTHLINC, INC

Clinic/Center (Federally Qualified Health Center (FQHC))

104 E CULVER RD, SUITE 106
KNOX, IN 46534

Starke County (574) 772-7400

LA PORTE CLINIC COMPANY LLC

Clinic/Center (Rural Health)

104 E CULVER RD, SUITE 102
KNOX, IN 46534

Starke County (219) 326-2461

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mangalore Subbarao's NPI number?

The NPI number for Mangalore Subbarao is 1194771113. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Mangalore Subbarao located?

Mangalore Subbarao practices at 104 E Culver Rd Suite 102, Knox, IN 46534. The listed phone number is (574) 772-1580.

What is Mangalore Subbarao's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mangalore Subbarao enrolled in Medicare?

Yes. Mangalore Subbarao is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mangalore Subbarao was last updated on September 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.