NPIMap

Individual provider Active NPI

Sai Sudhakar Chennamsetty, M.D.

  • Internal Medicine Physician
  • Lafayette, LA
National Provider Identifier
1245593979
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
207907 Issued in LA
Practice address
401 Youngsville Hwy
Suite 200B
Lafayette, LA 70508-5173
Phone
(337) 330-0031
NPI assigned
Jun 18, 2012
Last updated
Sep 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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 207907 LA Primary

Addresses

Primary practice location

401 Youngsville Hwy
Suite 200B
Lafayette, LA 70508-5173

Mailing address

401 Youngsville Hwy
Suite 100
Lafayette, LA 70508-5173
Phone (337) 330-0031

Other identifiers 1

IdentifierTypeStateIssuer
2301942MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150724009960 LA Practitioner - Internal Medicine 5991946261 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatric Group of Acadiana, LLCGroup PAC ID 2466476023, 14 clinicians

Practice addresses (Care Compare)

401 Youngsville Hwy
Suite 100
Lafayette, LA 70508-5173
Phone (337) 330-0031

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207907LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ambassador Physician Services LLC CurrentSince Feb 17, 2016 Accepting new patients
Pediatric Group of Acadiana, LLC Current Accepting new patients
Main Street Physician Services LLC CurrentSince Feb 17, 2016 Accepting new patients
Coolidge Physician Services LLC CurrentSince Jan 25, 2016 Accepting new patients
Calcasieu Cameron Hospital Medicine Group LLC CurrentSince Sep 2, 2015 Accepting new patients
Pediatric Group of Acadiana, LLC CurrentSince Jul 1, 2015 Accepting new patients
Pediatric Group of Acadiana LLC CurrentSince Jul 1, 2015 Accepting new patients
Hub City Physician Group, LLC CurrentSince May 1, 2016 Accepting new patients
Sage Rehab Hospital of Lafayette Operations, LLC Past Accepting new patients
Lafayette General Medical Center Inc Past Accepting new patients
Our Lady of Lourdes Regional Medical Center, Inc Past Accepting new patients
Sage Rehab Hospital of Lafayette Operations, LLC Past Accepting new patients

Locations

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

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

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423

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

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

401 Youngsville Hwy
Ste 200B
Lafayette, LA 70508
Phone (337) 330-0031

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135

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

2315 E Main St
Fl 3
New Iberia, LA 70560
Phone (337) 369-1100

520 N Lewis St
Ste 202
New Iberia, LA 70563
Phone (337) 367-2001

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sage Specialty and Rehabilitation Center of LafayetteLafayette, LA, CCN 192057 Hospital Contracted Managing Employee Mar 1, 2020

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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.

Hospital & facility affiliations 10

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": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1245593979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 YOUNGSVILLE HWY",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085173",
            "telephone_number": "337-330-0031",
            "fax_number": "337-330-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 YOUNGSVILLE HWY",
            "address_2": "SUITE 200B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085173",
            "telephone_number": "337-330-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENNAMSETTY",
        "first_name": "SAI",
        "middle_name": "SUDHAKAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "207907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2301942",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.