Individual provider Active NPI

Nirmala Induru, MD

  • Psychiatry Physician
  • Marrero, LA
National Provider Identifier
1124157417
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
09686R Issued in LA
Practice address
5001 Westbank Expy
Marrero, LA 70072-2954
Phone
(504) 349-8708
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 09686R LA Primary

Addresses

Primary practice location

5001 Westbank Expy
Marrero, LA 70072-2954

Mailing address

5001 Westbank Expressway
New Orleans, LA 70072
Phone (504) 348-8708

Other identifiers 1

IdentifierTypeStateIssuer
1545902MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080624000121 LA Practitioner - Psychiatry 1355412081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JeffcareGroup PAC ID 7911125513, 21 clinicians

Practice addresses (Care Compare)

5001 Westbank Expressway
Suite 100
Marrero, LA 70072-2954
Phone (504) 838-5215

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09686RLAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffcare CurrentSince Apr 13, 2019 Accepting new patients
Jefferson Parish Human Services Authority Past Accepting new patients
Louisiana Department of Health, Department of Health and Hospitals Past Accepting new patients
Department of Health and Hospitals Past Accepting new patients
Jefferson Parish Human Services Authority PastSince Feb 24, 2022 Accepting new patients

Locations

5001 Westbank Expy
#100
Marrero, LA 70072
Phone (504) 838-5215

5001 Westbank Expy
Ste 100
Marrero, LA 70072
Phone (504) 349-8708

3616 S I 10 Service Rd W
Ste 100
Metairie, LA 70001
Phone (504) 838-5215

3616 S I 10 Service Rd W
Ste 200
Metairie, LA 70001
Phone (504) 535-2430

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1124157417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 WESTBANK EXPRESSWAY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70072",
            "telephone_number": "504-348-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 WESTBANK EXPY",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722954",
            "telephone_number": "504-349-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDURU",
        "first_name": "NIRMALA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "09686R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1545902",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.