Organization Active NPI

Louisiana Healthcare Associates, LLC

  • Vascular Surgery Physician
  • Covington, LA
National Provider Identifier
1063596922
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
04588R Issued in LA
Legal business name
LOUISIANA HEALTHCARE ASSOCIATES, LLC
Practice address
71207 Highway 21
Covington, LA 70433-7121
Phone
(985) 892-6811
Fax
(985) 892-8767
NPI assigned
Oct 25, 2006
Last updated
Aug 5, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
APEX GROUP HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Authorized official

Name
Mr. Vijay K. Purohit
Title
President
Phone
(407) 284-1451

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X 04588R LA Primary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X 022744 LA

Addresses

Primary practice location

71207 Highway 21
Covington, LA 70433-7121

Mailing address

13506 Summerport Village Pkwy
Ste 739
Windermere, FL 34786-7366
Phone (985) 892-6811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050317000030 LA Part B Supplier - Clinic/Group Practice 2365497906 Receives reassigned benefits from 4 practitioners
Practice locations: Covington, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0990629Louisiana Healthcare Associates71207 Highway 21, Covington, LA 70433RegistrationApr 27, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1063596922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13506 SUMMERPORT VILLAGE PKWY",
            "address_2": "STE 739",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867366",
            "telephone_number": "985-892-6811",
            "fax_number": "985-892-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71207 HIGHWAY 21",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337121",
            "telephone_number": "985-892-6811",
            "fax_number": "985-892-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA HEALTHCARE ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APEX GROUP HOLDINGS, LLC",
        "enumeration_date": "2006-10-25",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "PUROHIT",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-284-1451",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "LA",
            "license": "04588R",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "LA",
            "license": "022744",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.