BRUNO SHANKAR SUBBARAO (D.O.) – Physical Medicine & Rehabilitation Physician, NPI 1407191885

BRUNO SHANKAR SUBBARAO (D.O.) is a healthcare provider. based in Fort lauderdale, Florida. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials D.O.. They hold a License No. OS13628 (FL). The NPI Number for BRUNO SHANKAR SUBBARAO (D.O.) is 1407191885

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
BRUNO SHANKAR SUBBARAO (D.O.)
NPI
1407191885
Phone
(412) 478-9148
Address
533 NE 3RD AVE
Enumeration Date
11 December 2012
Last Update Date
14 January 2016

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Secondary Phone
6025945400
Graduation Year
2012 (14 years ago)
PAC ID
9638473929
Group Practice PAC ID
4385023159
Professional Enrollment ID
I20241021003620
Address ID
AZ852246141CH1515XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

833 PHYSICAL MEDICINE AND REHABILITATION in FL

Provider Addresses for BRUNO SHANKAR SUBBARAO (D.O.)

  • 533 NE 3RD AVE

    APT 505

    FORT LAUDERDALE, FL 333013283

    Phone: (412) 478-9148

    Type: Mailing

  • 7031 SW 62ND AVE

    SOUTH MIAMI, FL 331434701

    Phone: (305) 284-7500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241021003620IPhysical Medicine And RehabilitationAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33301)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385023159View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Nurse PractitionerAZ
Nurse PractitionerAZ
Physical Medicine And RehabilitationAZ
Nurse PractitionerAZ
Physical Medicine And RehabilitationAZ
Nurse PractitionerAZ
Nurse PractitionerAZ
Physical Medicine And RehabilitationMN

Reviews

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Frequently asked questions

How do payers reference BRUNO SHANKAR SUBBARAO (D.O.)?
For BRUNO SHANKAR SUBBARAO (D.O.), use NPI 1407191885 as the unique 10-digit identifier.
Is BRUNO SHANKAR SUBBARAO (D.O.) still an active registrant?
BRUNO SHANKAR SUBBARAO (D.O.) carries an active NPI according to the public dataset.
How would a patient describe BRUNO SHANKAR SUBBARAO (D.O.)'s focus?
For BRUNO SHANKAR SUBBARAO (D.O.), the primary taxonomy reads as Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Is BRUNO SHANKAR SUBBARAO (D.O.) located near Fort Lauderdale?
BRUNO SHANKAR SUBBARAO (D.O.) currently maps to Fort Lauderdale, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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