NPIMap

Individual provider Active NPI

Surendra K Purohit, MD

  • Surgery Physician
  • Covington, LA
National Provider Identifier
1265506703
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
04588R Issued in LA
Practice address
71207 Highway 21
Covington, LA 70433-7121
Phone
(985) 892-6811
Fax
(985) 892-8767
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 04588R LA
Surgery Physician 208600000X 04588R LA Primary

Addresses

Primary practice location

71207 Highway 21
Covington, LA 70433-7121

Mailing address

71207 Highway 21
Covington, LA 70433-7121
Phone (985) 892-6811

Other identifiers 2

IdentifierTypeStateIssuer
1159239MedicaidLA
POO206115OtherLARAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address surendra.purohit.p1@direct.purohit.nextgenshare.com

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
I20050317000050 LA Practitioner - General SurgeryPractitioner - General Practice 4880649326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: General Practice
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Louisiana Healthcare Associates, LLCGroup PAC ID 2365497906, 3 clinicians

Practice addresses (Care Compare)

71207 Hwy 21
Covington, LA 70433-7121
Phone (985) 892-6811

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy25
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux46
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04588RLAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Healthcare Associates, LLC CurrentSince Apr 1, 2005 Accepting new patients

Locations

71207 Highway 21
Covington, LA 70433
Phone (985) 867-5310

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1265506703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71207 HIGHWAY 21",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337121",
            "telephone_number": "985-892-6811",
            "fax_number": "985-892-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71207 HIGHWAY 21",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337121",
            "telephone_number": "985-892-6811",
            "fax_number": "985-892-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUROHIT",
        "first_name": "SURENDRA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "04588R",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "04588R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1159239",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "POO206115",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "surendra.purohit.p1@direct.purohit.nextgenshare.com",
            "affiliation": "N",
            "address_1": "71207 Highway 21",
            "city": "Covington",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704337121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.