Individual provider Active NPI

Ramgopal S. Nileshwar, M.A., CCC-A, FAAA

  • Audiologist-Hearing Aid Fitter
  • Lake Charles, LA
National Provider Identifier
1023231628
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
1676 Issued in LA
Practice address
1919A Southwood Dr
Lake Charles, LA 70605-4132
Phone
(337) 474-3880
Fax
(337) 474-6890
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 1676 LA Primary

Addresses

Primary practice location

1919A Southwood Dr
Lake Charles, LA 70605-4132

Mailing address

4925 W Saint Charles Ave
Lake Charles, LA 70605-6755
Phone (337) 478-6987

Other identifiers 1

IdentifierTypeStateIssuer
1553085MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081007000762 LA Practitioner - Qualified Audiologist 1557439296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Hearing Center of Lake Charles, Inc.Group PAC ID 7810027984, 3 clinicians

Practice addresses (Care Compare)

1919 A Southwood Dr
Lake Charles, LA 70605-4132
Phone (337) 474-3880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1676LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Hearing & Tinnitus Center, LLC Audiologist CurrentSince Jul 22, 2025 Accepting new patients
The Hearing Center of Lake Charles, Inc. Audiologist-Hearing Aid Fitter CurrentSince Sep 8, 1981 Accepting new patients
R. Mark Williams MD Apmc Past Accepting new patients

Locations

801 S Pine St
Deridder, LA 70634
Phone (337) 462-0908

1919A Southwood Dr
Lake Charles, LA 70605
Phone (337) 474-3880

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1023231628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 W SAINT CHARLES AVE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706056755",
            "telephone_number": "337-478-6987",
            "fax_number": "337-474-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919A SOUTHWOOD DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054132",
            "telephone_number": "337-474-3880",
            "fax_number": "337-474-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILESHWAR",
        "first_name": "RAMGOPAL",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "M.A., CCC-A, FAAA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "LA",
            "license": "1676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1553085",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.