NPIMap

Babiswarup Reddy Chandamuri, M.D.

Individual provider Active NPI Gastroenterology Physician · Houma, LA

NPI 1104140144 · NPPES record last updated Nov 7, 2017

Key facts

NPI
1104140144
Entity type
Individual (NPI type 1)
Primary specialty
Gastroenterology Physician 207RG0100X
License
MD.205367 (LA)
Practice address
1990 Industrial Blvd
Houma, LA 70363-7055
Phone
(985) 868-9300
Fax
(985) 851-0053
NPI assigned
Mar 19, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 18

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.

Medicare Care Compare profile

Specialty
Gastroenterology
Also: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Community Health Care Centers, Inc (17 clinicians)

Practice addresses (Care Compare)

3932 Hwy 90 W
Avondale, LA 70094-2648
Phone (504) 436-2223

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20121012000067 LA Practitioner - Gastroenterology
Practitioner - Internal Medicine		 2163671876 Reassigns benefits to 4 organizations
Practice locations: New Orleans, LA

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles (11 of 12)

OrganizationSpecialtyStatusNew patients
Capitol City Family Health Center Incorporated Current
since Jul 18, 2019		 Accepting new patients
South Louisiana Medical Associates Current
since Jun 8, 2016		 Accepting new patients
Administrators of the Tulane Education Fund Current
since Dec 1, 2021		 Accepting new patients
Capitol City Family Health Center, Incorporated Current
since Jul 18, 2019		 Accepting new patients
Administrators of the Tulane Educational Fund Current
since Dec 1, 2021		 Accepting new patients
Life Coast Community Health Center Inc Current
since Jan 11, 2020		 Accepting new patients
South Louisiana Medical Associates Current
since Jun 8, 2016		 Accepting new patients
Administrators of the Tulane Educational Fund Current Accepting new patients
Life Coast Community Health Center Inc Current
since Jan 11, 2020		 Accepting new patients
Parish Hospital Service District for the Parish of Orleans Dist a Past Accepting new patients
Jefferson Community Health Care Centers, Inc. Past Accepting new patients

Locations

3140 Florida St
Baton Rouge, LA 70806
Phone (225) 650-2000

904 Catalpa St
Donaldsonville, LA 70346
Phone (225) 264-6800

605 Enterprise Dr
Ste C
Houma, LA 70360
Phone (985) 360-3755

1990 Industrial Blvd
Houma, LA 70363
Phone (985) 868-9300

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

5620 Read Blvd
New Orleans, LA 70127
Phone (504) 241-2664

1430 Tulane Ave
#8535
New Orleans, LA 70112

5640 Read Blvd
Ste 550
New Orleans, LA 70127
Phone (504) 241-9000

59340 River West Dr
Plaquemine, LA 70764
Phone (225) 385-4742

504 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 447-5667

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: babi.chandamuri.1@12324.direct.athenahealth.com
  • Direct secure messaging: bchandamuri142608@direct.ochsner.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD.205367 LA Yes

Addresses

Primary practice location

1990 Industrial Blvd
Houma, LA 70363-7055

Mailing address

1990 Industrial Blvd
Houma, LA 70363-7055
Phone (985) 868-9300

Other identifiers

IdentifierTypeStateIssuer
2106210MedicaidLA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 7, 2017.

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1104140144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 INDUSTRIAL BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703637055",
            "telephone_number": "985-868-9300",
            "fax_number": "985-851-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 INDUSTRIAL BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703637055",
            "telephone_number": "985-868-9300",
            "fax_number": "985-851-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDAMURI",
        "first_name": "BABISWARUP",
        "middle_name": "REDDY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-19",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "MD.205367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2106210",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

All providers in Houma, LA · Gastroenterology Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.