NPIMap

Individual provider Active NPI

Subodh Bhakta Uprety, MD

  • Family Medicine Physician
  • Monroe, LA
National Provider Identifier
1114159399
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD205649 Issued in LA
Practice address
2408 Broadmoor Blvd
Suite 2
Monroe, LA 71201-2963
Phone
(318) 807-0525
Fax
(318) 807-1107
NPI assigned
Aug 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X MD205649 LA Primary

Addresses

Primary practice location

2408 Broadmoor Blvd
Suite 2
Monroe, LA 71201-2963

Mailing address

130 Desiard Street
Suite 355
Monroe, LA 71201-7363
Phone (318) 807-7875

Other identifiers 1

IdentifierTypeStateIssuer
1887358MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140211001492 LA Practitioner - Family Practice 3173752383 Reassigns benefits to 5 organizations
I20230923000193 TX Practitioner - Family PracticePractitioner - Geriatric Medicine 3173752383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dallas County Hospital DistrictGroup PAC ID 8325934813, 597 clinicians
Vital Health Partners LLCGroup PAC ID 5092205732, 74 clinicians

Practice addresses (Care Compare)

303 E Overton Rd
Parkland Health
Dallas, TX 75216-5946
Phone (214) 266-4200

6198 Cypress St
West Monroe, LA 71291-9013
Phone (318) 396-5600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No 1-a of the Parish of Richland State of la Family Medicine CurrentSince Nov 1, 2019 Accepting new patients
Vital Health Partners LLC CurrentSince Dec 8, 2025 Accepting new patients
Hospital Service District No 1-a of the Parish of Richland State of la CurrentSince Nov 1, 2019 Accepting new patients
Affinity Health Group, LLC CurrentSince Nov 2, 2013 Accepting new patients
Dallas County Hospital District CurrentSince Jun 28, 2023 Accepting new patients
Dallas County Hospital District Current Accepting new patients
Physician Group of Louisiana Inc Current Accepting new patients
Hsa Louisiana Physician Group Inc CurrentSince Aug 23, 2025 Accepting new patients
Physician Group of Louisiana Inc Family Medicine CurrentSince Nov 16, 2023 Accepting new patients
Dallas County Hospital District Family Medicine CurrentSince Jun 28, 2023 Accepting new patients
Affinity Health Group, LLC Family Medicine CurrentSince Nov 2, 2013 Accepting new patients

Locations

6600 Cow Pen Rd
Ste 205
Miami Lakes, FL 33014
Phone (786) 292-0301

407 Cincinnati St
Delhi, LA 71232
Phone (318) 878-5171

130 Desiard St
Ste 355
Monroe, LA 71201
Phone (318) 807-7875

2408 Broadmoor Blvd
Ste 2
Monroe, LA 71201
Phone (318) 807-0525

503 McMillan Rd
Fl 2
West Monroe, LA 71291
Phone (318) 329-3475

503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200

6198 Cypress St
West Monroe, LA 71291
Phone (318) 396-5600

303 E Overton Rd
Dallas, TX 75216
Phone (214) 266-4200

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

Interoperability endpoints

  • Direct secure messaging: subodh.uprety.1@13199.direct.athenahealth.com

Organizations & group practices 11

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.

Hospital & facility affiliations 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1114159399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DESIARD STREET",
            "address_2": "SUITE 355",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017363",
            "telephone_number": "318-807-7875",
            "fax_number": "318-812-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 BROADMOOR BLVD",
            "address_2": "SUITE 2",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012963",
            "telephone_number": "318-807-0525",
            "fax_number": "318-807-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPRETY",
        "first_name": "SUBODH",
        "middle_name": "BHAKTA",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD205649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1887358",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.