Individual provider Active NPI

Amit Kumar Kshetarpal, M.D.,

  • Child & Adolescent Psychiatry Physician
  • Metairie, LA
National Provider Identifier
1093855132
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
14829 Issued in LA
Practice address
2117 Veterans Memorial Blvd
Ste 248
Metairie, LA 70002-6321
Phone
(727) 834-3959
NPI assigned
Feb 7, 2007
Last updated
Jun 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 14829 LA Primary
Psychiatry Physician 2084P0800X 14829 LA

Addresses

Primary practice location

2117 Veterans Memorial Blvd
Ste 248
Metairie, LA 70002-6321

Mailing address

2117 Veterans Memorial Blvd
248
Metairie, LA 70002-6321
Phone (281) 749-8230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14829LAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1093855132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 VETERANS MEMORIAL BLVD",
            "address_2": "248",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026321",
            "telephone_number": "281-749-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 VETERANS MEMORIAL BLVD",
            "address_2": "STE 248",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026321",
            "telephone_number": "727-834-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KSHETARPAL",
        "first_name": "AMIT",
        "middle_name": "KUMAR",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "LA",
            "license": "14829",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "14829",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.