NPIMap

Organization Active NPI

Cenla Kidney Specialists LLC

  • Nephrology Physician
  • Alexandria, LA
National Provider Identifier
1114489929
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
CENLA KIDNEY SPECIALISTS LLC
Practice address
6412 Genevieve Dr
Alexandria, LA 71301-2789
Phone
(646) 641-5614
NPI assigned
Apr 1, 2019
Last updated
Aug 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Authorized official

Name
Padam Hirachan, MDNPI 1528215019
Title
Member
Phone
(646) 641-5614

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

6412 Genevieve Dr
Alexandria, LA 71301-2789

Mailing address

6412 Genevieve Dr
Alexandria, LA 71301-2789
Phone (646) 641-5614

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Cenlakidneyspecialists@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190606000393 LA Part B Supplier - Clinic/Group Practice 0042543035 Receives reassigned benefits from 11 practitioners
Practice locations: Alexandria, LA
O20191209000154 MS Part B Supplier - Clinic/Group Practice 0042543035 Receives reassigned benefits from 5 practitioners
Practice locations: Natchez, MS

National Provider Directory

National Provider Directory

Locations

2220 Worley Dr
Alexandria, LA 71301
Phone (216) 647-3653

151 Jefferson Davis Blvd
Ste A
Natchez, MS 39120
Phone (318) 704-0001

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGIHBD

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1114489929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6412 GENEVIEVE DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713012789",
            "telephone_number": "646-641-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6412 GENEVIEVE DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713012789",
            "telephone_number": "646-641-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENLA KIDNEY SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-01",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "HIRACHAN",
        "authorized_official_first_name": "PADAM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "646-641-5614",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cenlakidneyspecialists@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business info",
            "address_1": "6412 Genevieve Dr",
            "city": "Alexandria",
            "state": "LA",
            "country_code": "US",
            "postal_code": "713012789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.