| Dr Sampath Subramaniam, MD | |
|
1658 Champlin Ave Ste 335, Utica, NY 13502-4830 | |
| (315) 624-4090 | |
| (315) 624-4095 |
| Full Name | Dr Sampath Subramaniam |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 33 Years |
| Location | 1658 Champlin Ave Ste 335, Utica, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932376738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 051492 (Connecticut) | Secondary |
| 208600000X | Surgery | 273432 (New York) | Secondary |
| 208600000X | Surgery | 55532 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Faxton-st Luke's Healthcare | Utica, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mvhs Inc | 2769380252 | 270 |
| Entity Name | Mvhs Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770690737 PECOS PAC ID: 2769380252 Enrollment ID: O20031222000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sampath Subramaniam, MD 111 Hospital Dr, Utica, NY 13502-2517 Ph: (315) 917-9966 | Dr Sampath Subramaniam, MD 1658 Champlin Ave Ste 335, Utica, NY 13502-4830 Ph: (315) 624-4090 |
Dr. John F Sperling, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1656 Champlin Ave, P.o.b., Suite 335, Utica, NY 13502 Phone: 315-624-4090 Fax: 315-624-4095 | |
Dr. Mario Carrillo, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1676 Sunset Ave, 4th Floor, Utica, NY 13502 Phone: 315-624-4690 Fax: 315-624-4840 | |
Dr. Christopher C Max, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1676 Sunset Ave, Faxton 4th Floor, Utica, NY 13502 Phone: 315-624-8110 Fax: 315-624-8115 | |
Dr. Jorge Ferreiro, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1656 Champlin Ave, Utica, NY 13502 Phone: 315-624-4090 Fax: 315-624-4095 | |
Geoffrey Simon, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1656 Champlin Ave, Suite 203, Utica, NY 13502 Phone: 315-738-0647 Fax: 315-738-9719 | |
Tiffany Chih Lee, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1676 Sunset Ave, Utica, NY 13502 Phone: 315-235-2540 Fax: 315-235-2171 | |
Phillip Ryan Rozak, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1676 Sunset Ave, Utica, NY 13502 Phone: 315-624-8110 Fax: 315-624-5775 |