Individual provider Active NPI

Ramakrishna Kasindula, M.D

  • Pediatrics Physician
  • Lafayette, LA
National Provider Identifier
1134481971
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
099324 Issued in OH
Practice address
4540 Ambassador Caffery Pkwy Ste B130
Lafayette, LA 70508-6959
Phone
(337) 981-8486
Fax
(337) 988-6816
NPI assigned
Jun 7, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 099324 OH Primary

Addresses

Primary practice location

4540 Ambassador Caffery Pkwy Ste B130
Lafayette, LA 70508-6959

Mailing address

302 Hacker St
New Iberia, LA 70560-4508
Phone (376) 088-9883

Other practice location 1

1744 70th St
Brooklyn, NY 11204-5205
Phone (347) 602-2646

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
I20210901000784 LA Practitioner - Pediatric Medicine 7012141377 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
099324OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Group of Acadiana, LLC CurrentSince Aug 1, 2021 Accepting new patients
Pediatric Group of Acadiana, LLC Current Accepting new patients
Preferred Pediatric Care Pediatrics CurrentSince Jul 23, 2024 Accepting new patients
Pediatric Group of Acadiana LLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

550 W Veterans Memorial Dr
Erath, LA 70533
Phone (337) 918-6341

401 Youngsville Hwy
#100
Lafayette, LA 70508
Phone (337) 330-0031

4540 Ambassador Caffery Pkwy
Ste B130
Lafayette, LA 70508
Phone (337) 981-8486

401 Youngsville Hwy
Ste 100
Lafayette, LA 70508
Phone (337) 330-0031

4540 Ambassador Caffery Pkwy
Lafayette, LA 70508

4540 Ambassador Caffery Pkwy
Ste B220
Lafayette, LA 70508
Phone (337) 406-2539

2308 E Main St
Ste G
New Iberia, LA 70560
Phone (337) 367-2001

302 Hacker St
New Iberia, LA 70560

6100 Cameron St
Scott, LA 70583
Phone (337) 289-6770

Organizations & group practices 4

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": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1134481971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 HACKER ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604508",
            "telephone_number": "376-088-9883",
            "fax_number": "337-417-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 AMBASSADOR CAFFERY PKWY STE B130",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086959",
            "telephone_number": "337-981-8486",
            "fax_number": "337-988-6816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1744 70th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112045205",
            "country_code": "US",
            "telephone_number": "347-602-2646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASINDULA",
        "first_name": "RAMAKRISHNA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-07",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "099324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.