Individual provider Active NPI

Shalini Choudhary

  • Family Medicine Physician
  • Lafayette, LA
National Provider Identifier
1225599129
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
332539 Issued in LA
Practice address
4906 Ambassador Caffery Pkwy Ste 1302
Lafayette, LA 70508-6965
Phone
(337) 261-6010
NPI assigned
Mar 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 332539 LA Primary

Addresses

Primary practice location

4906 Ambassador Caffery Pkwy Ste 1302
Lafayette, LA 70508-6965

Mailing address

4906 Ambassador Caffery Pkwy Ste 1302
Lafayette, LA 70508-6965

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
I20220912002967 LA Practitioner - Family Practice 1355736935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Practice addresses (Care Compare)

4212 W Congress St
Lafayette, LA 70506-6765

4906 Ambassador Caffery Pkwy
Suite 1302
Lafayette, LA 70508-6965
Phone (337) 534-8964

Hospital & facility affiliations

  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
  • Ochsner University Hospital and Clinics Hospital, Lafayette, LA, CCN 190006
  • Ochsner St Martin Hospital Hospital, Breaux Bridge, LA, CCN 191302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
332539LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc Family Medicine Current Accepting new patients
Lafayette Health Ventures Inc. CurrentSince Aug 28, 2022 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Aug 28, 2022 Accepting new patients
Lafayette Health Ventures, Inc Past Accepting new patients

Locations

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

4906 Ambassador Caffery Pkwy
Ste 1302
Lafayette, LA 70508
Phone (337) 235-7743

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1225599129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 AMBASSADOR CAFFERY PKWY STE 1302",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 AMBASSADOR CAFFERY PKWY STE 1302",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086965",
            "telephone_number": "337-261-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUDHARY",
        "first_name": "SHALINI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "332539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.