NPIMap

Individual provider Active NPI

Venkat R Banda, MD

  • Internal Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1083690804
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11275R Issued in LA
Practice address
3600 Florida Blvd
Baton Rouge, LA 70806
Phone
(225) 387-7070
Fax
(225) 387-7700
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11275R LA Primary

Addresses

Primary practice location

3600 Florida Blvd
Baton Rouge, LA 70806

Mailing address

PO Box 732094
Dept 235
Dallas, TX 75373-2094
Phone (225) 387-7916

Other identifiers 3

IdentifierTypeStateIssuer
P00294988OtherLARAIL ROAD MEDICARE
1661856MedicaidLA
1083690804OtherLANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060217000372 LA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 4284649823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baton Rouge Clinic, a Medical Corporation 285 clinicians
Baton Rouge General Physicians Inc 189 clinicians

Practice addresses (Care Compare)

7373 Perkins Rd
Baton Rouge, LA 70808-4326
Phone (225) 246-9790

8585 Picardy Ave
Baton Rouge, LA 70809-3748
Phone (225) 763-4000

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Baton Rouge, LA, CCN 197437
  • Baton Rouge General Home Health Home health agency, Baton Rouge, LA, CCN 197163
  • Stat Home Health, LLC Home health agency, La Place, LA, CCN 197549
  • The Hospice of Baton Rouge Hospice, Baton Rouge, LA, CCN 191507
  • Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065
  • The General Hospital, Baton Rouge, LA, CCN 190316
  • Baton Rouge General Medical Center Inpatient rehabilitation facility, Baton Rouge, LA, CCN 19T065
  • Baton Rouge General Medical Center, SNF Nursing home, Baton Rouge, LA, CCN 195139

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11275RLAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge General Physicians, Inc. Internal Medicine CurrentSince May 1, 2025 Accepting new patients
Baton Rouge Clinic, a Medical Corporation Internal Medicine CurrentSince Dec 31, 2018 Accepting new patients
Baton Rouge Clinic, a Medical Corporation CurrentSince Dec 31, 2018 Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince May 1, 2025 Accepting new patients
Baton Rouge General Medical Center Past Accepting new patients
Hospital Medicine Group Inc Internal Medicine Past Accepting new patients
The Wellness Studio, LLC Past Accepting new patients
Med-Aid Clinic Past Accepting new patients
Hospice Foundation of Greater Baton Rouge Past Accepting new patients
Baton Rouge General Physicians, Inc. Internal Medicine Past Accepting new patients
Baton Rouge Clinic, a Medical Corporation Past Accepting new patients
Baton Rouge General Medical Center Past Accepting new patients
Baton Rouge General Medical Center Past Accepting new patients

Locations

8595 Picardy Ave
Ste 320
Baton Rouge, LA 70809
Phone (225) 237-1880

3401 North Blvd
Ste 100
Baton Rouge, LA 70806
Phone (225) 381-2621

3600 Florida St
#2020
Baton Rouge, LA 70806

8490 Picardy Ave
Ste 100B
Baton Rouge, LA 70809

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

7373 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 246-9790

8585 Picardy Ave
Ste 410
Baton Rouge, LA 70809
Phone (225) 237-4111

3401 North Blvd
Ste 130
Baton Rouge, LA 70806
Phone (225) 381-2789

610 N Jefferson Ave
Port Allen, LA 70767
Phone (225) 267-6626

14105 Highway 73
Ste 100
Prairieville, LA 70769
Phone (225) 402-2600

Interoperability endpoints

  • Direct secure messaging: venkat.banda.1@18086.direct.athenahealth.com
  • Direct secure messaging: vbanda20778@brgeneralhealthsystem.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baton Rouge General Medical CenterBaton Rouge, LA, CCN 19T065 Hospital Corporate Director Jan 1, 2011
Baton Rouge General Medical CenterBaton Rouge, LA, CCN 19S065 Hospital Corporate Director Jan 1, 2011
Baton Rouge Rehab HospitalBaton Rouge, LA, CCN 193028 Hospital 5% Or Greater Direct Ownership Interest Jan 29, 2010
St. James Place of Baton RougeBaton Rouge, LA, CCN 195410 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2019
Apr 25, 2025
Baton Rouge General Medical CenterBaton Rouge, LA, CCN 195139 Skilled nursing facility Corporate Director Jan 1, 2011

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1083690804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 732094",
            "address_2": "DEPT 235",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753732094",
            "telephone_number": "225-387-7916",
            "fax_number": "225-372-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70806",
            "telephone_number": "225-387-7070",
            "fax_number": "225-387-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDA",
        "first_name": "VENKAT",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "11275R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00294988",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1661856",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083690804",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.