Jeevan Kumar Yenuganti, BDS, MSPH

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6421 Issued in LA

Practice address

1631 Elysian Fields Ave
New Orleans, LA 70117-8208

Phone

(504) 821-2601

Fax

(888) 736-9806

NPI assigned

Sep 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Jeevan K Yenuganti Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• LA PPO C-SNP

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.

• Marillac Community Health Centers

  • Family Medicine Physician
  • Harvey, LA
  • NPI 1316324890

  Multi-Specialty

  NPD
• Marillac Community Health Centers

  • Primary Care Clinic/Center
  • Metairie, LA
  • NPI 1396059796

  Multi-Specialty

  NPD
• Marillac Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Hammond, LA
  • NPI 1578442505
  NPD
• Southeast Community Health Systems

  • Federally Qualified Health Center (FQHC)
  • Greensburg, LA
  • NPI 1023147113

  Multi-Specialty

  NPD
• Southeast Community Health Systems

  • Federally Qualified Health Center (FQHC)
  • Hammond, LA
  • NPI 1366617367

  Multi-Specialty

  NPD
• Southeast Community Health Systems

  • Federally Qualified Health Center (FQHC)
  • Kentwood, LA
  • NPI 1558515676
  NPD
• Southeast Community Health Systems

  • Federally Qualified Health Center (FQHC)
  • Kentwood, LA
  • NPI 1912458639
  NPD

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1083801880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2357 ORMOND BLVD",
            "city": "DESTREHAN",
            "state": "LA",
            "postal_code": "700472103",
            "telephone_number": "504-638-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 ELYSIAN FIELDS AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701178208",
            "telephone_number": "504-821-2601",
            "fax_number": "888-736-9806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7050 Plank Rd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708116043",
            "country_code": "US",
            "telephone_number": "225-774-1120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YENUGANTI",
        "first_name": "JEEVAN",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "BDS, MSPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "034897",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1864218",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEEVAN",
            "last_name": "YENUGANTI",
            "middle_name": "K",
            "prefix": "DR.",
            "credential": "ORAL MEDICINE & GPR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Masoud Yeganegi, MD MASC
• Justin Yeh, MD, MS
• Jericka Yehudah, GC
• Caitlin Yelverton, NNP-BC
• Yemayas Village Inc
• Luke Yesbeck
• Mary Ac Yetta, MSW
• Xiao-Ming Yin, MD,PHD
• Shaun Robert Yockelson, M.D.
• Catherine Flynn Yockey, MA

• General Practice Dentistry in New Orleans, LA
• Providers in New Orleans, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.