Individual provider Active NPI

Parameswara Krishna Kaimal, M.D.

  • Interventional Cardiology Physician
  • Alexandria, LA
National Provider Identifier
1053309336
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
04645R Issued in LA
Practice address
501 Medical Center Dr
Suite 250
Alexandria, LA 71301-8124
Phone
(318) 473-4613
Fax
(318) 445-7129
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 04645R LA Primary

Addresses

Primary practice location

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

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
71301A004OtherLATRICARE
110004182OtherLARAILROAD MEDICARE
1196266MedicaidLA
00125771MedicaidMS

Other names 1

  • Dr. P. K. Kaimal Professional name

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
I20100327000187 LA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Peripheral Vascular Disease 7719033869 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04645RLAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rapides Healthcare System, LLC CurrentSince May 20, 2014 Accepting new patients
Rapides Healthcare System LLC CurrentSince May 20, 2014 Accepting new patients
Alexandria Cardiology Clinic Interventional Cardiology CurrentSince Jan 1, 1994 Accepting new patients

Locations

501 Medical Center Dr
#D
Alexandria, LA 71301

501 Medical Center Dr
Ste 250
Alexandria, LA 71301
Phone (318) 473-4613

211 4th St
#30115
Alexandria, LA 71301

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

Organizations & group practices 3

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1053309336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 4TH ST",
            "address_2": "BOX 30115",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-473-4613",
            "fax_number": "318-445-7129"
        },
        {
            "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": "318-445-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAIMAL",
        "first_name": "PARAMESWARA",
        "middle_name": "KRISHNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": "04645R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "71301A004",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110004182",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1196266",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125771",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "P.",
            "last_name": "KAIMAL",
            "middle_name": "K.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.