SUBRAMANIAM R SHASTRI MD
NPI 1821057183
Internal Medicine in Saint Joseph, MI
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
Specialties & Licenses
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Subramaniam R Shastri Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Subramaniam Shastri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Joseph, MI 49085
- Reassigned Medicare billing, Michigan enrollment
- 724 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.
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.
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.
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
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.
Which organization bills Medicare for Subramaniam Shastri's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Subramaniam Shastri reassigns Medicare benefits to Lakeland Medical Practices (Saint Joseph, MI). The 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 Subramaniam Shastri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Subramaniam R Shastri, MD · NPI 1821057183
Internal Medicine physician in Saint Joseph, Michigan. Individual provider, active in the CMS NPPES registry since March 23, 2006.
## Identity
- **NPI:** 1821057183 (Entity type: Individual)
- **Enumerated:** March 23, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** SS036858 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3950 HOLLYWOOD RD, SUITE 270, Saint Joseph, MI 49085-9159
- **Phone:** (269) 982-7840 · **Fax:** (269) 982-7843
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lakeland Medical Practices (NPI 1538397120, Saint Joseph, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 9, 2015
- **Other identifiers:** Medicare UPIN D91249 (MI); Other 0A110280 (MI); Other 290012718 (MI); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1821057183) · Data from the CMS NPPES public registry.