Individual provider Active NPI

Jayagopal Appurao, M.D.

  • Surgery Physician
  • Bogalusa, LA
National Provider Identifier
1063510774
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD.05072R Issued in LA
Practice address
433 Plaza St Ste 3a
Bogalusa, LA 70427-3729
Phone
(985) 730-7030
Fax
(985) 730-7032
NPI assigned
Sep 20, 2006
Last updated
Jan 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD.05072R LA Primary

Addresses

Primary practice location

433 Plaza St Ste 3a
Bogalusa, LA 70427-3729

Mailing address

P O Box 919313
Lafayette, LA 70503
Phone (855) 707-1542

Other identifiers 1

IdentifierTypeStateIssuer
1309338MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jappurao15880@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

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
I20081010000012 LA Practitioner - General Surgery 8820017759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lallie Kemp Medical CtrGroup PAC ID 0345238903, 38 clinicians

Practice addresses (Care Compare)

433 Plaza St
Bogalusa, LA 70427-3729
Phone (985) 730-6706

52579 Hwy 51 S
Independence, LA 70443-2231
Phone (985) 878-1349

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wash-St Tammany Reg Medical Center Current Accepting new patients
Lallie Kemp Medical Ctr CurrentSince Jul 1, 2015 Accepting new patients
Our Lady of the Angels Hospital, Inc. CurrentSince Mar 17, 2014 Accepting new patients
Lallie Kemp Medical Ctr CurrentSince Jul 1, 2015 Accepting new patients
St. Tammany Parish Hospital Service District No 1 PastSince Jan 10, 2021 Accepting new patients

Locations

433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700

433 Plaza St
Rm 213
Bogalusa, LA 70427
Phone (985) 730-7209

433 Plaza St
Ste 3A
Bogalusa, LA 70427
Phone (985) 730-6970

52579 Highway 51 S
Independence, LA 70443
Phone (985) 878-1349

Interoperability endpoints

  • Direct secure messaging: jappurao15880@direct.casso.us.com

Organizations & group practices 5

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 3

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1063510774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 919313",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70503",
            "telephone_number": "855-707-1542",
            "fax_number": "337-237-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 PLAZA ST STE 3A",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273729",
            "telephone_number": "985-730-7030",
            "fax_number": "985-730-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPURAO",
        "first_name": "JAYAGOPAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "MD.05072R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309338",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jappurao15880@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jappurao15880@direct.casso.us.com",
            "address_1": "433 Plaza St Ste 3A",
            "city": "Bogalusa",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704273729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "433 Plaza St Ste 3A",
            "city": "Bogalusa",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704273729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bogalusa, LA

Sources for this page

Verify at the official NPI Registry.