MANGALORE JAIRAM SUBBARAO (M.D.) – Surgery Physician, NPI 1194771113
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MANGALORE JAIRAM SUBBARAO (M.D.)
2022, Kelle Drive, Chesterton, Porter County, Indiana, 46304, United States
CHESTERTON, IN 463048708
Phone: (219) 326-2312
Fax: (219) 326-2584
Type: Mailing
East Culver Road, Knox, Starke County, Indiana, 46534, United States
SUITE 102
KNOX, IN 465342241
Phone: (574) 772-1580
Fax: (574) 772-1581
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: 2006-10-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061003000489 | I | General Surgery | IN | TBD |
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.
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 46304)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | IN | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 18 | 18 |
| GENERAL SURGERY | IN | 45378 | Diagnostic examination of large bowel using an endoscope | 26 | 26 |
| GENERAL SURGERY | IN | 45385 | Removal of polyps or growths of large bowel using an endoscope | 55 | 55 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | WI | |
| Nurse Practitioner | IN | |
| O P H T H A L M O L O G Y | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| Interventional Cardiology | TX | |
| Nurse Practitioner | IN | |
| - | IN | |
| - | IN | |
| - | IL | |
| Physician Assistant | CT |
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