Organization Active NPI

Medical Imaging Associates of Louisiana, Apm LLC

  • Diagnostic Radiology Physician
  • Lafayette, LA
National Provider Identifier
1083601207
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MEDICAL IMAGING ASSOCIATES OF LOUISIANA, APM LLC
Practice address
2311 Kaliste Saloom Rd
Lafayette, LA 70508-6807
Phone
(337) 261-5151
NPI assigned
Oct 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Dr. Vidyadhar Akkaraju, MD
Title
Partner M.D.
Phone
(337) 706-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

2311 Kaliste Saloom Rd
Lafayette, LA 70508-6807

Mailing address

PO Box 53134
Lafayette, LA 70505-3134
Phone (337) 261-5151

Other identifiers 1

IdentifierTypeStateIssuer
1451347MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050912000219 LA Part B Supplier - Clinic/Group Practice 0345273355 Receives reassigned benefits from 2 practitioners
Practice locations: Lafayette, LA; Thibodaux, LA

National Provider Directory

National Provider Directory

Locations

4809 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 981-2949

601 W Saint Mary Blvd
Ste 110
Lafayette, LA 70506
Phone (318) 323-5995

4809 Ambassador Caffery Pkwy
Ste 350
Lafayette, LA 70508
Phone (337) 231-5775

601 W Saint Mary Blvd
Ste 104
Lafayette, LA 70506
Phone (337) 289-2795

2311 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (337) 231-5775

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1083601207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53134",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705053134",
            "telephone_number": "337-261-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 KALISTE SALOOM RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086807",
            "telephone_number": "337-261-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL IMAGING ASSOCIATES OF LOUISIANA, APM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "AKKARAJU",
        "authorized_official_first_name": "VIDYADHAR",
        "authorized_official_title_or_position": "PARTNER M.D.",
        "authorized_official_telephone_number": "337-706-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1451347",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.