Active NPI
Shivakanth Burugu, M.D.
- Nephrology Physician
- New Iberia, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 321121
- Practice address
- 224 N Lewis St
New Iberia, LA 70563-2841 - Phone
- (337) 560-1144
- Fax
- (337) 560-1102
- NPI assigned
- Apr 19, 2010
- Last updated
- May 30, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD37848 | SC | |
| Nephrology Physician | 207RN0300X | 321121 | LA | Primary |
Addresses
Primary practice location
224 N Lewis St
New Iberia, LA 70563-2841
Mailing address
300 W Saint Mary Blvd
Lafayette, LA 70506-4638
Phone (337) 233-6593
Other practice location 1
300 18th St Ste 200
Lake Charles, LA 70601-7342
Phone (337) 497-0366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2516825 | Medicaid | LA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sburugu21184@direct.acumenmd.com | ||
| Direct Messaging Address | sburugu21184@direct.acumenmd.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
224 N Lewis St
New Iberia, LA 70563-2841
Phone (337) 560-1144
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD37848 | SC | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pee Dee Nephrology LLP | Nephrology | Current | Accepting new patients |
| Advanced Nutrition Consultants Inc | Current | Accepting new patients | |
| Gulf Coast Nephrology, LLC | Nephrology | Current | Accepting new patients |
| Acadiana Renal Physicians AMC | Nephrology | Current | Accepting new patients |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
2804 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 981-5156
300 W Saint Mary Blvd
Lafayette, LA 70506
Phone (337) 233-1542
300 18th St
Ste 200
Lake Charles, LA 70601
Phone (337) 439-5369
224 N Lewis St
New Iberia, LA 70563
Phone (318) 364-1103
1100 E Cheves St
Florence, SC 29506
Phone (843) 669-6694
Interoperability endpoints
- sburugu422227@christushealth.direct-ci.net
Organizations & group practices 5
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.
-
- Nephrology Physician
- Lafayette, LA
- NPI 1992747349
-
- Nephrology Physician
- Lake Charles, LA
- NPI 1982340774
-
- Nephrology Physician
- Florence, SC
- NPI 1598825929
-
- Renal Nutrition Registered Dietitian
- Rock Hill, SC
- NPI 1700204526
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bma Franklin
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Franklin, LA
- NPI 1467564211
Dialysis facility
-
dba Iberia Medical Center
- Rehabilitation Hospital Unit
- New Iberia, LA
- NPI 1992159925
-
dba Iberia Medical Center
- General Acute Care Hospital
- New Iberia, LA
- NPI 1285601088
-
dba Bayou Bend Health System
- Critical Access Hospital
- Franklin, LA
- NPI 1043218365
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1598766495
-
dba St Martin Hospital
- Critical Access Hospital
- Breaux Bridge, LA
- NPI 1437482817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1023334828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W SAINT MARY BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705064638",
"telephone_number": "337-233-6593",
"fax_number": "337-235-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 N LEWIS ST",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705632841",
"telephone_number": "337-560-1144",
"fax_number": "337-560-1102"
}
],
"practiceLocations": [
{
"address_1": "300 18th St Ste 200",
"address_purpose": "LOCATION",
"city": "Lake Charles",
"state": "LA",
"postal_code": "706017342",
"country_code": "US",
"telephone_number": "337-497-0366",
"fax_number": "337-497-1367",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURUGU",
"first_name": "SHIVAKANTH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-19",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "SC",
"license": "MD37848",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "LA",
"license": "321121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2516825",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sburugu21184@direct.acumenmd.com",
"affiliation": "N",
"address_1": "224 N Lewis St",
"city": "New Iberia",
"state": "LA",
"country_code": "US",
"postal_code": "705632841",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sburugu21184@direct.acumenmd.com",
"affiliation": "N",
"address_1": "300 18th St Ste 200",
"city": "Lake Charles",
"state": "LA",
"country_code": "US",
"postal_code": "706017342",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Iberia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.