Organization Active NPI

Alexandria Cardiology Clinic

  • Interventional Cardiology Physician
  • Alexandria, LA
National Provider Identifier
1033142807
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
ALEXANDRIA CARDIOLOGY CLINIC
Practice address
501 Medical Center Dr
Suite 250
Alexandria, LA 71301-8124
Phone
(318) 473-4613
Fax
(318) 443-3400
NPI assigned
Jul 7, 2006
Last updated
Oct 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Authorized official

Name
Dr. Parameswara Krishna Kaimal, M.D.NPI 1053309336
Title
President Senior Physician
Phone
(318) 473-4613

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

501 Medical Center Dr
Suite 250
Alexandria, LA 71301-8124

Mailing address

211 4TH St # 30115
Alexandria, LA 71301-8421
Phone (318) 473-4613

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050210000255 LA Part B Supplier - Clinic/Group Practice 1658322334 Receives reassigned benefits from 8 practitioners
Practice locations: Oakdale, LA; Vidalia, LA; Marksville, LA; Alexandria, LA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

211 4th St
#30115
Alexandria, LA 71301

1605 7th St
Mamou, LA 70554
Phone (337) 468-4685

1607 7TH St
Mamou, LA 70554
Phone (337) 468-5699

457 W Waddil St
Ste B
Marksville, LA 71351
Phone (318) 473-4613

913 E 7th Ave
Oakdale, LA 71463
Phone (318) 335-4200

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1033142807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 4TH ST # 30115",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-473-4613",
            "fax_number": "318-443-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MEDICAL CENTER DR",
            "address_2": "SUITE 250",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018124",
            "telephone_number": "318-473-4613",
            "fax_number": "318-443-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRIA CARDIOLOGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "KAIMAL",
        "authorized_official_first_name": "PARAMESWARA",
        "authorized_official_middle_name": "KRISHNA",
        "authorized_official_title_or_position": "PRESIDENT SENIOR PHYSICIAN",
        "authorized_official_telephone_number": "318-473-4613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.