Individual provider Active NPI

Pallavi Sunkara, M.D

  • Internal Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1184902348
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.204784 Issued in LA
Practice address
17000 Medical Center Dr
Baton Rouge, LA 70816-3246
Phone
(225) 236-5932
Fax
(225) 236-5504
NPI assigned
Jul 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.204784 LA Primary

Addresses

Primary practice location

17000 Medical Center Dr
Baton Rouge, LA 70816-3246

Mailing address

5855 Citrus Blvd
Apt# 213
Harahan, LA 70123-5876
Phone (716) 598-6488

Other names 1

  • Pallavi Peddu Former name

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
I20110816000546 LA Practitioner - Internal Medicine 8224207873 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Mayfair Physician Services, LLC Internal Medicine CurrentSince Nov 28, 2020 Accepting new patients
Belle Chasse Physician Services LLC CurrentSince Dec 3, 2016 Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 1, 2015 Accepting new patients
Hospital Service Dist. No. 1 of the Parish of St. Charles, State of la Past Accepting new patients

Locations

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655

1514 Jefferson Hwy
New Orleans, LA 70121

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1184902348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 CITRUS BLVD",
            "address_2": "APT# 213",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701235876",
            "telephone_number": "716-598-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 MEDICAL CENTER DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708163246",
            "telephone_number": "225-236-5932",
            "fax_number": "225-236-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNKARA",
        "first_name": "PALLAVI",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.204784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PALLAVI",
            "last_name": "PEDDU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.