Individual provider Active NPI

Nishant Kumar Rout, D.P.M.

  • Podiatrist
  • Ponchatoula, LA
National Provider Identifier
1063101244
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
342892 Issued in LA
Practice address
165 W Oak St
Ponchatoula, LA 70454-3328
Phone
(985) 986-7900
Fax
(985) 386-7999
NPI assigned
May 3, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 342892 LA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 342892 LA

Addresses

Primary practice location

165 W Oak St
Ponchatoula, LA 70454-3328

Mailing address

PO Box 2036
Ponchatoula, LA 70454-2036
Phone (985) 386-7900

Other practice location 1

1514 Jefferson Hwy
Jefferson, LA 70121-2429
Phone (504) 842-3000

Other practice location 2

2240 Gause Blvd E
Slidell, LA 70461-4231
Phone (981) 215-5618

Other practice location 3

802 Riverside Dr
Franklinton, LA 70438-3634
Phone (985) 215-5618

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260612000838 LA Practitioner - Podiatry 6204281322

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1401 Jefferson Hwy
Academic Center 1 St Floor
New Orleans, LA 70121

165 W Oak St
Ponchatoula, LA 70454-3328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J. Kozel, MD, a.P.M.C. CurrentSince Jul 1, 2026 Accepting new patients
Southern Podiatry Clinic LLC CurrentSince Jul 1, 2026 Accepting new patients

Locations

165 W Oak St
Ponchatoula, LA 70454
Phone (985) 386-5943

2240 Gause Blvd E
Slidell, LA 70461
Phone (985) 605-6925

Organizations & group practices 2

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": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1063101244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2036",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704542036",
            "telephone_number": "985-386-7900",
            "fax_number": "985-386-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 W OAK ST",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704543328",
            "telephone_number": "985-986-7900",
            "fax_number": "985-386-7999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1514 Jefferson Hwy",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "LA",
            "postal_code": "701212429",
            "country_code": "US",
            "telephone_number": "504-842-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2240 Gause Blvd E",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704614231",
            "country_code": "US",
            "telephone_number": "981-215-5618",
            "fax_number": "985-386-7999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "802 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Franklinton",
            "state": "LA",
            "postal_code": "704383634",
            "country_code": "US",
            "telephone_number": "985-215-5618",
            "fax_number": "985-386-7999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUT",
        "first_name": "NISHANT",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-03",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "342892",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "LA",
            "license": "342892",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponchatoula, LA

Sources for this page

Verify at the official NPI Registry.