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SUBRAMANIAM R SHASTRI MD
NPI 1821057183
Internal Medicine in Saint Joseph, MI

Active since March 23, 2006PECOS Enrolled
3950 HOLLYWOOD RD, SUITE 270, SAINT JOSEPH, MI 49085(269) 982-7840(269) 982-7843 Get Directions Write a Review

NPPES record last updated: February 9, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Subramaniam R Shastri Md NPPES

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

SUBRAMANIAM R SHASTRI MD (NPI 1821057183) is an individual internal medicine provider in Saint Joseph, Michigan, licensed in Michigan (SS036858) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821057183
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSUBRAMANIAM R SHASTRICredential: MD
Location Address3950 HOLLYWOOD RD, SUITE 270Saint Joseph, MI 49085-9159
Mailing Address3950 Hollywood Rd, Suite 270Saint Joseph, MI 49085-9159 · (269) 982-7840 · Fax (269) 982-7843
Phone(269) 982-7840
Fax(269) 982-7843
Sole ProprietorNo
Enumeration DateMarch 23, 2006
Last NPPES UpdateFebruary 9, 2015
✔ NPI 1821057183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · SS036858
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3950 HOLLYWOOD RD, Saint Joseph, MI 49085
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Other Identifiers 5

Medicare UPIND91249MI
Other0A110280MI · Bcbs
Other290012718MI · Rail Road Medicare
Medicare PIN0M94300MI
Medicare PINA16056056

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Subramaniam R Shastri Md 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 49085 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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 20

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

BENJAMIN T. WOOD
Obstetrics & Gynecology
3950 HOLLYWOOD RD, SUITE 100
SAINT JOSEPH, MI 49085
Berrien County (269) 429-8010
DR. YU-LAM CHRISTOPHER CHIU M.D.
Internal Medicine (Interventional Cardiology)
3950 HOLLYWOOD RD, SUITE 110
SAINT JOSEPH, MI 49085
Berrien County (269) 985-1000
AMENA IQBAL
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3950 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Berrien County (269) 408-1600
LAKESIDE CANCER SPECIALISTS, PLLC
Clinic/Center (Oncology)
3950 HOLLYWOOD RD, SUITE 240
SAINT JOSEPH, MI 49085
Berrien County (269) 428-4411
DR. PHILIP JASHEWAY PT, AT
Physical Therapist
3950 HOLLYWOOD RD
SAINT JOSEPH, MI 49085
Berrien County (269) 556-7150
DR. JOHN L BARD MD
Obstetrics & Gynecology
3950 HOLLYWOOD RD, SUITE 100
SAINT JOSEPH, MI 49085
Berrien County (269) 429-8010
SPECTRUM HEALTH HOSPITALS
Pediatrics (Pediatric Hematology-Oncology)
3950 HOLLYWOOD RD, SUITE 240
SAINT JOSEPH, MI 49085
Berrien County (616) 267-1925
DR. THOMAS K POW M.D.
Internal Medicine (Interventional Cardiology)
3950 HOLLYWOOD RD, SUITE 110
SAINT JOSEPH, MI 49085
Berrien County (269) 985-1000

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 Subramaniam Shastri's NPI number?

The NPI number for Subramaniam Shastri is 1821057183. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Subramaniam Shastri located?

Subramaniam Shastri practices at 3950 Hollywood Rd Suite 270, Saint Joseph, MI 49085. The listed phone number is (269) 982-7840.

What is Subramaniam Shastri's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Subramaniam Shastri enrolled in Medicare?

Yes. Subramaniam Shastri is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Subramaniam Shastri was last updated on February 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.