Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194771113 Individual Practitioner Male Practitioner

Dr. Mangalore Jairam Subbarao , MD

Surgery • Knox, IN

Professional Overview & Biography Verified Profile Summary

Dr. Mangalore Subbarao, MD is a registered healthcare professional specializing in Surgery in Knox, IN. Practice services are available at 104 E CULVER RD under active NPI credentials.

Frequently performed procedures and clinical services include biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, removal of polyps or growths of large bowel using an endoscope with mechanical snare, colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

104 E Culver Rd
Suite 102

Knox, IN 465342241

Telephone 5747721580
Fax 5747721581
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Knox, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Knox, IN (657 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
26 25 $376.00 $111.90
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare
24 24 $690.00 $249.40
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
11 11 $500.00 $165.17

Medical Specialties & State Licenses

CMS Verified: 2021-09-14
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IN 01041718

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100383520 (IN)
Commercial Insurance / Payer ID Anthem
000000682354 (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Brooke Butler , FNP

Nurse Practitioner - Family

NPI 1114385879

Family Nurse Practitioner

Dr. Thomas Spencer , MD

Obstetrics & Gynecology

NPI 1295796985

Doctor of Medicine (M.D.)

Nikkole Chambers , FPN

Nurse Practitioner - Family

NPI 1831522085

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address September 16, 2020

Registered at 2022 KELLE DR, CHESTERTON, IN 463048708 (Tel: 2193262312)

NPI Profile Active June 23, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2011

Registered at 104 E CULVER RD, SUITE 102, KNOX, IN 465342241 (Tel: 5747721580)

📍
Updated Business Mailing Address June 23, 2011

Registered at P.O. BOX 1690, LA PORTE, IN 463521690 (Tel: 2193262312)

👤
Provider Name / Credentials Updated June 23, 2011

Recorded as MANGALORE SUBBARAO, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2011

Surgery (License #01041718 in IN)

🟢
Initial NPI Registration & Enumeration May 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Mangalore Subbarao. Be the first to share your experience!

Sign in to leave a review for Dr. Mangalore Subbarao

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1194771113
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2006
Last Update: September 14, 2021
Sole Proprietor: No

Mailing Address

2022 Kelle Dr

Chesterton, IN 463048708

Phone: 2193262312

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.