DR. SUBBARAO VENKATA PEMMARAJU M.D.
NPI 1639130008
Family Medicine - Geriatric Medicine in Fayetteville, NC
NPI Status: Active since March 28, 2006
Contact Information
2300 RAMSEY ST
VAMC, DIVISION OF LTC/GERIATRICS, 11G
FAYETTEVILLE, NC
ZIP 28301
Phone: (910) 488-2120
- Individual
- Male
- Family Medicine
- Geriatric Medicine
- Accepts Insurance
- PECOS Enrolled
About SUBBARAO PEMMARAJU
This page provides the complete NPI Profile along with additional information for Subbarao Pemmaraju, a primary care provider established in Fayetteville, North Carolina with a medical specialization in Family Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1639130008 assigned on March 2006. The practitioner's primary taxonomy code is 207QG0300X. The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1639130008
- Provider Name
- DR. SUBBARAO VENKATA PEMMARAJU M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2300 RAMSEY ST VAMC, DIVISION OF LTC/GERIATRICS, 11G FAYETTEVILLE, NC 28301
- Location Phone
- (910) 488-2120
- Mailing Address
- 2938 LAMBRUSCO PL FAYETTEVILLE, NC 28306
- Mailing Phone
- (910) 868-3717
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-28-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A primary care provider (PCP) like Subbarao Pemmaraju sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine Geriatric Medicine
- Taxonomy Code
- 207QG0300X
- Type
- Allopathic & Osteopathic Physicians
- License State
- IL
- Taxonomy Description
- A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AvMed Entrust Bronze 600 (2025) - HMO
- AvMed Entrust Bronze 650 (2025) - HMO
- AvMed Entrust Expanded Bronze Standard (2025) - HMO
- AvMed Entrust Gold 125 (2025) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2025) - HMO
- AvMed Entrust Gold Standard (2025) - HMO
- AvMed Entrust Platinum 25 (2025) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2025) - HMO
- AvMed Entrust Platinum Standard (2025) - HMO
- AvMed Entrust Silver 350 (2025) - HMO
- AvMed Entrust Silver 350 Dental+Vision (2025) - HMO
- AvMed Entrust Silver 550 (2025) - HMO
- AvMed Entrust Silver 550 Dental+Vision (2025) - HMO
- AvMed Entrust Silver Standard (2025) - HMO
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Silver 9 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Subbarao Pemmaraju is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 28301 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.9
- Minimum New Patient Price $54.12
- Maximum New Patient Price $165.09
- Average New Patient Copayment $20.97
- Minimum New Patient Copayment $13.53
- Maximum New Patient Copayment $41.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.94
- Minimum Established Patient Price $17.21
- Maximum Established Patient Price $134.61
- Average Established Patient Copayment $23.98
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.65
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 3 | 9 | 1 | 3 | 0 | 0 | 0 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 6 | 9 | 2 | 3 | 0 | 0 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 6 + 9 + 2 + 3 + 0 + 0 + 0 + 24 = 52 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 52 = 8 | 8 |
The NPI number 1639130008 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1700881604 | DR. WILLIAM JOSEPH ELLIOTT III PHARM.D., BCPS Individual | Pharmacist (Pharmacotherapy) | 2300 RAMSEY ST FAYETTEVILLE, NC 28301 (910) 822-7956 |
1942206255 | DR. PHILIP ALDEN LEWIS JR. D.P.M. Individual | Podiatrist (Foot Surgery) | 2300 RAMSEY ST VA MEDICAL CENTER (112) FAYETTEVILLE, NC 28301 (910) 822-7131 |
1366448201 | MRS. SUSAN N BENWARE NP Individual | Nurse Practitioner (Adult Health) | 2300 RAMSEY ST FAYETTEVILLE, NC 28301 (910) 488-2120 |
1912905001 | DR. JOSEPH C WEBSTER M.D. Individual | Obstetrics & Gynecology (Gynecology) | 2300 RAMSEY ST VETERANS HOSPITAL FAYETTEVILLE FAYETTEVILLE, NC 28301 (910) 482-5152 |
1710952502 | ABDUL T. KHAN M.D. Individual | Internal Medicine | 2300 RAMSEY ST FAYETTEVILLE, NC 28301 (910) 822-7903 |
1457320269 | KERRI LYNN BOYD SR. CMSW Individual | Social Worker (Clinical) | 2300 RAMSEY ST FAYETTEVILLE, NC 28301 (910) 488-2120 |
1417916347 | DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER Organization | Dietitian, Registered | 2300 RAMSEY ST FAYETTEVILLE, NC 28301 (910) 488-2120 |
1730148701 | MR. DAVID LEE PHILLIPS RD Individual | Dietitian, Registered | 2300 RAMSEY ST FAYETTEVILLE, NC 28301 (910) 822-7038 |
1205895182 | MRS. DEBORAH A MILBURN RD Individual | Dietitian, Registered | 2300 RAMSEY ST FAYETTEVILLE, NC 28301 (910) 488-2120 |
1235199670 | ELIZABETH ANN SENGSTAKEN M.D. Individual | Family Medicine | 2300 RAMSEY ST FAYETTEVILLE, NC 28301 (910) 488-2120 |
1255391777 | MR. EDGAR CURTIS NORWOOD I LCSW Individual | Social Worker (Clinical) | 2300 RAMSEY ST FAYETTEVILLE, NC 28301 (910) 488-2120 |
1326009663 | DR. SAFI SOLIMAN M.D. Individual | Internal Medicine | 2300 RAMSEY ST FAYETTEVILLE, NC 28301 (910) 488-2120 |
1609837558 | MS. ANN-LUISE READ CMSW Individual | Social Worker (Clinical) | 2300 RAMSEY ST FAYETTEVILLE, NC 28301 (910) 482-5232 |
1801857776 | MRS. YEE LAM SIMMONS RNP Individual | Nurse Practitioner (Family) | 2300 RAMSEY ST FAYETTEVILLE, NC 28301 (910) 488-2120 |
1689635146 | MR. MARTIN ROBERT SAWYER PA-C Individual | Physician Assistant (Medical) | 2300 RAMSEY ST VAMC FAYETTEVILLE, NC 28301 (910) 822-7998 |
1689635377 | MS. THEADORA DEVONE CAMPBELL PA-C Individual | Physician Assistant | 2300 RAMSEY ST FAYETTEVILLE, NC 28301 (910) 488-2120 |
1942261664 | MS. JANICE LEE ROGERS NP Individual | Nurse Practitioner (Adult Health) | 2300 RAMSEY ST FAYETTEVILLE, NC 28301 (910) 488-2120 |
1841251428 | DR. ARVINDKUMAR K PATEL M.D. Individual | Internal Medicine | 2300 RAMSEY ST FAYETTEVILLE, NC 28301 (910) 488-2120 |
1306808761 | MRS. DIXIE ANN CARPENTER NP Individual | Nurse Practitioner (Gerontology) | 2300 RAMSEY ST FAYETTEVILLE, NC 28301 (910) 488-2120 |
1043272107 | DR. HENRY LEE MOSS JR. MD Individual | Orthopaedic Surgery | 2300 RAMSEY ST FAYETTEVILLE, NC 28301 (800) 771-6106 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639130008, enumerated in the NPI registry as an "individual" on March 28, 2006
The provider is located at 2300 Ramsey St Vamc, Division Of Ltc/geriatrics, 11g Fayetteville, Nc 28301 and the phone number is (910) 488-2120
The provider's speciality is Family Medicine with taxonomy code 207QG0300X with a focus in Geriatric Medicine
The provider might be accepting Accepts: AvMed and Molina Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $83.9 with an average copayment of $20.97 for new patient appointments. Established patients should expect a typical charge of $95.94 and an average copayment of 23.98. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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