Individual provider Active NPI

Vishakha Pardeshi, MBBS; MPH

  • Anatomic Pathology & Clinical Pathology Physician
  • Baton Rouge, LA
National Provider Identifier
1023372604
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
334564 Issued in LA
Practice address
5339 Odonovan Dr
Baton Rouge, LA 70808-4388
Phone
(225) 766-4999
NPI assigned
Jun 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0116024384 VA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 334564 LA Primary

Addresses

Primary practice location

5339 Odonovan Dr
Baton Rouge, LA 70808-4388

Mailing address

8451 Picardy Ave Apt 2402
Baton Rouge, LA 70809-3777

Other practice location 1

1215 Lee St
Box 800386
Charlottesville, VA 22908-0816
Phone (434) 243-6781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20251122000074 TX Practitioner - Pathology 6305110370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1800 Plaza Dr
Bedford, TX 76021-6013
Phone (817) 310-4490

Merit-based Incentive Payment System (MIPS)

Final score
84.01 of 100Reported as group
Quality
81.19
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116024384VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Current Accepting new patients
Texas Digestive Disease Consultants PLLC CurrentSince Aug 21, 2025 Accepting new patients
Texas Digestive Disease Consultants, PLLC CurrentSince Aug 21, 2025 Accepting new patients
Woman'S Specialty Clinic Past Accepting new patients

Locations

601 S Main St
Keller, TX 76248
Phone (817) 741-4347

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1023372604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8451 PICARDY AVE APT 2402",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5339 ODONOVAN DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084388",
            "telephone_number": "225-766-4999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Lee St",
            "address_2": "Box 800386",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080816",
            "country_code": "US",
            "telephone_number": "434-243-6781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARDESHI",
        "first_name": "VISHAKHA",
        "credential": "MBBS; MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116024384",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "LA",
            "license": "334564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.