Durga P Naidu, M.D, FAAP, FACC

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

304683 Issued in LA

Practice address

1003 Camellia Blvd Ste 101
Lafayette, LA 70508-7248

Phone

(337) 456-6892

Fax

(337) 735-3038

NPI assigned

Jul 12, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Pediatric Medicine

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Childrens Heart Clinic of Louisiana LLC

  • Pediatric Cardiology Physician
  • Lafayette, LA
  • NPI 1528774023

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1174835631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 CAMELLIA BLVD STE 101",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087248",
            "telephone_number": "337-456-6892",
            "fax_number": "337-735-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 CAMELLIA BLVD STE 101",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087248",
            "telephone_number": "337-456-6892",
            "fax_number": "337-735-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIDU",
        "first_name": "DURGA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D, FAAP, FACC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "LA",
            "license": "304683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2452622",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BP20048090",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renae J. T. Myers
• Myra Gulotta LCSW LLC
• Nagem Medical Specialties, LLC
• Edmund Nagem, M.D.
• Manikandan Nagendran, MD
• Vasanth K Nalam, MD
• Namllit Family Care & Transport LLC
• Rebekah Naomi, LCSW
• Angenique Naquin
• Lauren Barry Naquin, NP-C, APRN, MSN

• Pediatric Cardiology Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Pediatric Cardiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.