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IMONA SUBEDI M.B.B.S
NPI 1508480716
Student in an Organized Health Care Education/Training Program in Port Jefferson, NY

Active since June 03, 2020PECOS EnrolledAccepts Medicare Assignment
75 N COUNTRY ROAD, LEVEL 2 - CMO SUITE, MATHER HOSPITAL INTERNAL MEDICINE RESIDENCY PROGRAM, PORT JEFFERSON, NY 11777(631) 686-2517(631) 686-7651 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 14, 2025, Aug 16, 2022, Jun 3, 2020 (3 updates tracked since 2020).

About Imona Subedi M.b.b.s NPPES

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

IMONA SUBEDI M.B.B.S (NPI 1508480716) is an individual student in an organized health care education/training program in Port Jefferson, New York and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and maintains a secondary practice location in Wisconsin Rapids.

NPPES Registry Identity

NPI1508480716
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameIMONA SUBEDICredential: M.B.B.S
Location Address75 N COUNTRY ROAD, LEVEL 2 - CMO SUITE, MATHER HOSPITAL INTERNAL MEDICINE RESIDENCY PROGRAMPort Jefferson, NY 11777
Mailing Address75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency ProgramPort Jefferson, NY 11777 · (631) 686-2517 · Fax (631) 686-7651
Phone(631) 686-2517
Fax(631) 686-7651
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 3, 2020
Last NPPES UpdateAugust 16, 20223 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
✔ NPI 1508480716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
75 N COUNTRY ROAD, LEVEL 2 - CMO SUITE, Port Jefferson, NY 11777
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Secondary Practice Location 1

Location 12031 Peach StWisconsin Rapids, WI 54494-5181 · Phone (715) 423-0122 · Fax (158) 431-1767

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Imona Subedi M.b.b.s 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.

PECOS PAC ID2163928052
PECOS Enrollment IDI20250930002788
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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Aspirus Stevens Point Hospital & Clinics, Inc.

Acute Care Hospitals · Stevens Point, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520002
Location900 Illinois AveStevens Point, WI 54481 · Portage County
Emergency services Birthing friendly

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520019
Location2251 North Shore DrRhinelander, WI 54501 · Oneida County
Emergency services Birthing friendly

Aspirus Riverview Hospital & Clinics Inc

Acute Care Hospitals · Wisconsin Rapids, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520033
Location410 Dewey StWisconsin Rapids, WI 54495 · Wood County
Emergency services

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 Imona Subedi's NPI number?

The NPI number for Imona Subedi is 1508480716. It was assigned to this individual provider in the NPPES registry on June 3, 2020.

Where is Imona Subedi located?

Imona Subedi practices at 75 N Country Road, Level 2 - Cmo Suite Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777. The listed phone number is (631) 686-2517.

What is Imona Subedi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Imona Subedi enrolled in Medicare?

Yes. Imona Subedi 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.

What insurance does Imona Subedi accept?

Health plans from Anthem Blue Cross and Blue Shield list Imona Subedi 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 Imona Subedi affiliated with any hospitals?

According to CMS data, Imona Subedi is affiliated with University Of Cincinnati Medical Center, LLC, Aspirus Stevens Point Hospital & Clinics, Inc., Aspirus Rhinelander Hospital and Aspirus Riverview Hospital & Clinics Inc.

When was this NPI record last updated?

The NPPES record for Imona Subedi was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.