Active NPI
Chakkungal P. Devidoss, M.D.
- Nephrology Physician
- New Orleans, LA
National Provider Identifier
1104808302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME167041
- Practice address
- 5 Fairway Oaks Dr
New Orleans, LA 70131-3339 - Phone
- (504) 905-6808
- NPI assigned
- Nov 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ME167041 | FL | Primary |
Addresses
Primary practice location
5 Fairway Oaks Dr
New Orleans, LA 70131-3339
Mailing address
5 Fairway Oaks Dr
New Orleans, LA 70131-3339
Phone (504) 905-6808
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME167041 | FL | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael G Russo MD a Professionsl LLC | Past | Accepting new patients | |
| Westbank Nephrology, Apmc | Nephrology | Past | Accepting new patients |
Interoperability endpoints
- chakkungal.devidoss.1@22854.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Marrero, LA
- NPI 1710146808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1104808302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 FAIRWAY OAKS DR",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701313339",
"telephone_number": "504-905-6808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 FAIRWAY OAKS DR",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701313339",
"telephone_number": "504-905-6808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVIDOSS",
"first_name": "CHAKKUNGAL",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-15",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME167041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.