Sujata Chava, M.D.
Individual provider Active NPI Internal Medicine Physician · Luling, LA
NPI 1043318090 · NPPES record last updated Aug 12, 2015
Key facts
- NPI
- 1043318090
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD.15340R (LA)
- Practice address
- 1057 Paul Maillard Rd
Suite 250
Luling, LA 70070-4349 - Phone
- (985) 785-5770
- Fax
- (985) 785-7753
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040915000519 | LA | Practitioner - Internal Medicine | 4284601519 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (10 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Health Louisiana | Current |
Accepting new patients | |
| Access Health Louisiana | Current |
Accepting new patients | |
| Access Health Louisiana | Past | Accepting new patients | |
| Access Health Louisiana | Past |
Accepting new patients | |
| Parish Internal Medicine Associates LLC | Internal Medicine | Past | Accepting new patients |
| Access Health Louisiana | Past |
Accepting new patients | |
| Surgery & Hyperbaric Medicine, Inc | Past | Accepting new patients | |
| Access Health Louisiana | Past | Accepting new patients | |
| Access Health Louisiana | Past |
Accepting new patients | |
| Access Health Louisiana | Past |
Accepting new patients |
Locations
819 W Esplanade Ave
Ste B
Kenner, LA 70065
Phone (504) 475-9990
671 W Esplanade Ave
Kenner, LA 70065
Phone (504) 412-1700
Networks
- LA PPO C-SNP
Interoperability endpoints
- sujata.chava.1@11331.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD.15340R | LA | Yes |
Addresses
Primary practice location
1057 Paul Maillard Rd
Suite 250
Luling, LA 70070-4349
Mailing address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1461024 | Medicaid | LA | |
| 08002225 | Medicaid | MS |
Other providers in Luling, LA
- Bridget Marie Cameron
- Raymond G Campbell
- Nathaly Carrion
- Jamara Celistan
- Tina Chaisson
- Michelle M Comboy
- James G Comeaux
- Community Medical Group-St Charles Inc
- Ashley Cooper
- Brianne Cortez
All providers in Luling, LA · Internal Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.