Individual provider Active NPI

Ashish Udhrain, M.D.

  • Hematology & Oncology Physician
  • Metairie, LA
National Provider Identifier
1013980853
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
202708 Issued in LA
Practice address
4204 Houma Blvd
FL 2
Metairie, LA 70006-2903
Phone
(504) 883-2968
Fax
(504) 883-2973
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 37330 AZ
Internal Medicine Physician 207R00000X MD.202708 LA
Hematology & Oncology Physician 207RH0003X 202708 LA Primary

Addresses

Primary practice location

4204 Houma Blvd
FL 2
Metairie, LA 70006-2903

Mailing address

4204 Houma Blvd
FL 2
Metairie, LA 70006-2903
Phone (504) 883-2968

Other identifiers 2

IdentifierTypeStateIssuer
252480MedicaidAZ
1067822MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100816000996 LA Practitioner - Hematology/Oncology 2668566779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thibodaux Regional Network Development CorporationGroup PAC ID 8224011754, 138 clinicians

Practice addresses (Care Compare)

602 N Acadia Rd
Thibodaux, LA 70301-4823

602 N Acadia Rd
Thibodaux, LA 70301-4847

608 N Acadia Rd
Thibodaux, LA 70301-4847

Hospital & facility affiliations

  • Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004
  • Terrebonne General Medical Center - Parish Hospital, Houma, LA, CCN 190008

Merit-based Incentive Payment System (MIPS)

Final score
82.55 of 100Reported as group
Quality
67.62
Promoting interoperability
100
Improvement activities
40
Cost
71.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
202708LAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thibodaux Regional Network Development Corporation Hematology & Oncology CurrentSince Jan 2, 2018 Accepting new patients
Thibodaux Regional Network Development Corporation Current Accepting new patients
Thibodaux Regional Network Development Corporation CurrentSince Jan 2, 2018 Accepting new patients

Locations

602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544

608 N Acadia Rd
Fl 3
Thibodaux, LA 70301
Phone (985) 449-4642

608 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4334

Networks

  • MS PPO C-SNP
  • TX HMO
  • MS PPO D-SNP
  • LA PPO C-SNP
  • MS PPO

Interoperability endpoints

  • Direct secure messaging: ashish.udhrain.1@748.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1013980853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 HOUMA BLVD",
            "address_2": "FL 2",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062903",
            "telephone_number": "504-883-2968",
            "fax_number": "504-883-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 HOUMA BLVD",
            "address_2": "FL 2",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062903",
            "telephone_number": "504-883-2968",
            "fax_number": "504-883-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDHRAIN",
        "first_name": "ASHISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "37330",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.202708",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "LA",
            "license": "202708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252480",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1067822",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.