SUBHASH C PROOTHI MD
NPI 1376537621
Internal Medicine - Hematology & Oncology in Fountain Hill, PA
About Subhash C Proothi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUBHASH C PROOTHI MD (NPI 1376537621) is an individual hematology & oncology provider in Fountain Hill, Pennsylvania, licensed in Pennsylvania (MD022180E) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and is a graduate of Other (1970).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Subhash C Proothi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Subhash Proothi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fountain Hill, PA 18015
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: St Lukes Physician Group Inc
- 2,851 clinicians in this Medicare group
Phillipsburg, NJ 08865
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: St Lukes Warren Physician Group PC
- 528 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Luke's Warren Hospital
Acute Care Hospitals · Phillipsburg, NJSt Lukes Quakertown Hospital
Acute Care Hospitals · Quakertown, PASt Luke's Hospital Bethlehem
Acute Care Hospitals · Bethlehem, PASt Luke's Miners Memorial Hospital
Acute Care Hospitals · Coaldale, PASt Luke's Hospital - Monroe Campus
Acute Care Hospitals · Stroudsburg, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FOUNTAIN HILL, PA 18015
FOUNTAIN HILL, PA 18015
BETHLEHEM, PA 18015
FOUNTAIN HILL, PA 18015
FOUNTAIN HILL, PA 18015
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 Subhash Proothi's NPI number?
The NPI number for Subhash Proothi is 1376537621. It was assigned to this individual provider in the NPPES registry on September 1, 2005.
Where is Subhash Proothi located?
Subhash Proothi practices at 701 Ostrum St Ste 403, Fountain Hill, PA 18015. The listed phone number is (610) 867-3115.
What is Subhash Proothi's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.
Is Subhash Proothi enrolled in Medicare?
Yes. Subhash Proothi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Subhash Proothi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Subhash Proothi reassigns Medicare benefits to 2 organizations: St. Luke's Physician Group, Inc. (Fountain Hill, PA) and St. Luke's Warren Physician Group, PC (Phillipsburg, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Subhash Proothi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Subhash Proothi accept?
Health plans from Oscar Health list Subhash Proothi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Subhash Proothi affiliated with any hospitals?
According to CMS data, Subhash Proothi is affiliated with St Luke's Warren Hospital, St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem, St Luke's Miners Memorial Hospital and St Luke's Hospital - Monroe Campus.
When was this NPI record last updated?
The NPPES record for Subhash Proothi was last updated on April 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Subhash C Proothi, MD · NPI 1376537621
Hematology & Oncology physician in Fountain Hill, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 1, 2005.
## Identity
- **NPI:** 1376537621 (Entity type: Individual)
- **Enumerated:** September 1, 2005
- **Primary specialty:** Internal Medicine - Hematology & Oncology · taxonomy 207RH0003X
- **State license:** MD022180E (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 701 OSTRUM ST, STE 403, Fountain Hill, PA 18015-1155
- **Phone:** (610) 867-3115 · **Fax:** (610) 867-6991
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St. Luke's Physician Group, Inc. (NPI 1003867623, Fountain Hill, PA); St. Luke's Warren Physician Group, PC (NPI 1518387547, Phillipsburg, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1970
## Record status
- **NPPES last updated:** April 5, 2013
- **Other identifiers:** Medicare UPIN B35835; Medicare ID-Type Unspecified 093176F3D; Medicaid 0006772140001 (PA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1376537621) · Data from the CMS NPPES public registry.