Individual provider Active NPI

Siddhartha Darshan Bajracharya, MD

  • Nephrology Physician
  • New Orleans, LA
National Provider Identifier
1033568357
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
328771 Issued in LA
Practice address
1542 Tulane Ave # T4M2
New Orleans, LA 70112-2865
Phone
(504) 568-2903
NPI assigned
Jun 7, 2016
Last updated
Nov 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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
Nephrology Physician 207RN0300X 328771 LA Primary

Addresses

Primary practice location

1542 Tulane Ave # T4M2
New Orleans, LA 70112-2865

Mailing address

1542 Tulane Ave # T4M2
New Orleans, LA 70112-2865
Phone (504) 568-2903

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
I20211120000029 LA Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Hospitalist 2466746326 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
New York University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jan 21, 2022 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Aug 13, 2021 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G Current Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Aug 13, 2021 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 21, 2022 Accepting new patients

Locations

200 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-2940

1020 Saint Andrew St
New Orleans, LA 70130

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

1542 Tulane Ave
#T4M2
New Orleans, LA 70112
Phone (504) 568-2577

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

478 S Johnson St
New Orleans, LA 70112
Phone (504) 412-1000

478 S Johnson St
Fl 5
New Orleans, LA 70112

Interoperability endpoints

  • Direct secure messaging: sbajracharya1431005@direct.ochsner.org

Organizations & group practices 7

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.

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": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1033568357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 TULANE AVE # T4M2",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122865",
            "telephone_number": "504-568-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 TULANE AVE # T4M2",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122865",
            "telephone_number": "504-568-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJRACHARYA",
        "first_name": "SIDDHARTHA",
        "middle_name": "DARSHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "328771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.