Sujatha Gubbala, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

310047 Issued in LA

Practice address

647 Bienville Cir
Natchitoches, LA 71457

Phone

(318) 238-5990

Fax

(318) 238-5993

NPI assigned

Apr 9, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Matta Medical Clinic LLCGroup PAC ID 0749533396, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lagniappe Homecare Northwest Louisiana Home health agency, Natchitoches, LA, CCN 197478
• Elara Caring Home health agency, Natchitoches, LA, CCN 197120
• Natchitoches Regional Medical Center Hospital, Natchitoches, LA, CCN 190007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIAFBD/Endpoint/EIAFBD
• Direct secure messaging: sujatha.gubbala@direct.la-hie.org
• Direct secure messaging: sujatha.gabbala@direct.la-hie.org

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.

• Matta Medical Clinic LLC

  • Family Medicine Physician
  • Natchitoches, LA
  • NPI 1881174027

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official

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

• Bradbury Home Health, Inc.

  • Home Health Agency
  • Natchitoches, LA
  • NPI 1457425340
  Care Compare affiliation
• Lagniappe Homecare Northwest Louisiana Inc

  • Home Health Agency
  • Natchitoches, LA
  • NPI 1760578140
  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  • Rural Health Clinic/Center
  • Campti, LA
  • NPI 1093933897

  Hospital

  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  • Obstetrics & Gynecology Physician
  • Natchitoches, LA
  • NPI 1568897692

  Hospital

  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  • General Acute Care Hospital
  • Natchitoches, LA
  • NPI 1639243967
  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  • General Acute Care Hospital
  • Natchitoches, LA
  • NPI 1689676835
  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  • Clinic/Center
  • Natchitoches, LA
  • NPI 1821414897

  Hospital

  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  • Radiation Oncology Physician
  • Natchitoches, LA
  • NPI 1972171072

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1164818894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7111",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714570111",
            "telephone_number": "318-238-5990",
            "fax_number": "318-238-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 BIENVILLE CIR",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "71457",
            "telephone_number": "318-238-5990",
            "fax_number": "318-238-5993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Kings Hwy",
            "address_2": "FM",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711034228",
            "country_code": "US",
            "telephone_number": "318-675-5388",
            "fax_number": "318-675-7950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUBBALA",
        "first_name": "SUJATHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "310047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanita Gail Grayson
• Faye Green, MS LAC CCGC CCS
• Rachel Denita Green
• David Greene, DMD
• Brittany Grinstead
• Guidance Through Life Counseling Services
• Guidroz Physical Therapy LLC
• Richard L Guidroz, PT
• Mary T Guidry, RD, LDN, CDE
• Ashley Erin Haley, LCSW

• Family Medicine Physician in Natchitoches, LA
• Providers in Natchitoches, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.