Ravi Kanagala, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

201805 Issued in LA

Practice address

433 Plaza St Ste 514
Bogalusa, LA 70427-3729

Phone

(985) 730-7023

NPI assigned

Nov 7, 2005

Last updated

Jan 4, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA, MS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)

Education

Indiana University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Jefferson Physicians Group LLCGroup PAC ID 4587660402, 211 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Audubon Home Health of Hammond Home health agency, Hammond, LA, CCN 197272
• Apex Home Health, LLC Home health agency, Hammond, LA, CCN 197123
• Audubon of New Orleans Home Health Home health agency, Metairie, LA, CCN 197440
• East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• LA PPO C-SNP

Interoperability endpoints

• Direct secure messaging: ravi.kanagala@hca9.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Jefferson Physicians Group LLC

  • Internal Medicine Physician
  • New Orleans, LA
  • NPI 1922293372

  MS

  Medicare reassignment Care Compare group NPD
• CSS of Hammond LLC

  dba Comprehensive Sleep Solutions

  • Sleep Disorder Diagnostic Clinic/Center
  • Hammond, LA
  • NPI 1063882793
  NPD (past)
• Lakeview Regional Physician Group LLC

  • Pediatrics Physician
  • Covington, LA
  • NPI 1285890467
  NPD (past)
• Metairie Physician Services Inc.

  • Internal Medicine Physician
  • Metairie, LA
  • NPI 1801233648

  Cardiovascular Disease

  NPD (past)

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

• Apex Home Health, L.L.C.

  dba Ultra Home Health

  • Home Health Agency
  • Mandeville, LA
  • NPI 1073553749
  Care Compare affiliation
• Audubon of New Orleans Home Health Inc

  • Home Health Agency
  • Metairie, LA
  • NPI 1134161573
  Care Compare affiliation
• Capital Region Home Health Inc

  dba Audubon Home Health of Hammond

  • Home Health Agency
  • Hammond, LA
  • NPI 1750729760
  Care Compare affiliation
• University Healthcare System, L.C.

  • Ambulance
  • Metairie, LA
  • NPI 1023717683

  Hospital

  Care Compare affiliation
• University Healthcare System, L.C.

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1033611454
  Care Compare affiliation
• University Healthcare System, L.C.

  dba East Jefferson General Hospital

  • General Acute Care Hospital
  • Metairie, LA
  • NPI 1497792527
  Care Compare affiliation
• University Healthcare System, L.C.

  dba Lakeview Regional Behavioral Health

  • Psychiatric Hospital Unit
  • Covington, LA
  • NPI 1790722825
  Care Compare affiliation

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1124009220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704701705",
            "telephone_number": "985-871-8227",
            "fax_number": "985-871-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 PLAZA ST STE 514",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273729",
            "telephone_number": "985-730-7023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Judge Tanner Blvd",
            "address_2": "STE. 200",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704337503",
            "country_code": "US",
            "telephone_number": "985-871-8227",
            "fax_number": "985-871-6920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANAGALA",
        "first_name": "RAVI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "LA",
            "license": "201805",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "201805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031569",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04155584",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RAVI.KANAGALA@hca9.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "101 Judge Tanner Blvd",
            "address_2": "STE. 200",
            "city": "Covington",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704337503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tonica Johnson
• Tonishia P Johnson, BA, RSW, CSW
• Barbara Jones
• Kathryn Jones, CSW
• Serena Catherine Jones, DDS
• Brooke L. Kanigowski, RD, LDN
• Ashton Olivia Keaton, LAC
• Shanda Ann Keaton, APRN, PMHNP
• Linda H Kellar, MSP, CCC
• Dorothy Dittmer Kenda, RD LDN

• Cardiovascular Disease Physician in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• Cardiovascular Disease Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.