NPIMap

Individual provider Active NPI

Reshma Arun Bhanushali, M.D.

  • Internal Medicine Physician
  • Lafayette, LA
National Provider Identifier
1285892182
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
204813 Issued in LA
Practice address
2390 W Congress St
Internal Medicine Dept
Lafayette, LA 70506-4205
Phone
(337) 261-6327
NPI assigned
May 28, 2008
Last updated
Feb 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 204813 LA Primary

Addresses

Primary practice location

2390 W Congress St
Internal Medicine Dept
Lafayette, LA 70506-4205

Mailing address

2390 W Congress St
Internal Medicine Dept
Lafayette, LA 70506-4205

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
I20111004000491 LA Practitioner - Internal MedicinePractitioner - Emergency Medicine 4385816925 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coolidge Physician Services LLCGroup PAC ID 7113156035, 52 clinicians
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Practice addresses (Care Compare)

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991

457 Heymann Blvd
Lafayette, LA 70503-2616
Phone (337) 289-8816

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
204813LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc CurrentSince Aug 1, 2019 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
Lafayette Health Ventures, Inc Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients
Coolidge Physician Services LLC CurrentSince Jan 28, 2014 Accepting new patients
Lafayette General Medical Center Inc Past Accepting new patients

Locations

1211 Coolidge Blvd
Ste 301
Lafayette, LA 70503
Phone (337) 261-1919

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

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

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

457 Heymann Blvd
Lafayette, LA 70503
Phone (337) 232-8511

Interoperability endpoints

  • Direct secure messaging: rbhanushali1099198@direct.ochsner.org

Ownership & related parties

All facility ownership & control disclosures 11

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

FacilityTypeRoleSince
Ochsner Lafayette General Medical CenterLafayette, LA, CCN 190002 Hospital Corporate Director Jan 31, 2023
Ochsner St. Martin HospitalBreaux Bridge, LA, CCN 191302 Hospital Corporate Director Jan 31, 2023
Ochsner St Martin HospitalBreaux Bridge, LA, CCN 19Z302 Hospital Corporate Director Jan 31, 2023
Lafayette Behavioral Health UnitLafayette, LA, CCN 19S002 Hospital Corporate Director Jan 31, 2023
Ochsner Acadia General HospitalCrowley, LA, CCN 190044 Hospital Corporate Director Jul 18, 2023
Ochsner Abrom Kaplan Memorial HospitalKaplan, LA, CCN 191322 Hospital Corporate Director Jan 31, 2023
Ochsner Abrom Kaplan Memorial HospitalKaplan, LA, CCN 19M322 Hospital Corporate Director Jan 31, 2023
Ochsner Abrom Kaplan Memorial HospitalKaplan, LA, CCN 19Z322 Hospital Corporate Director Jan 31, 2023
St. Joseph Hospice of Acadiana, LLCLafayette, LA, CCN 191654 Hospice Contracted Managing Employee Feb 25, 2016
Ocshner St. Martin Hospital Community Health ClinicBreaux Bridge, LA, CCN 198531 Rural health clinic Corporate Director Jan 31, 2023
Kaplan General Hospital IncGueydan, LA, CCN 198533 Rural health clinic Corporate Director Jan 31, 2023

Owned or controlled facilities with NPI records 11

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

Organizations & group practices 5

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 9

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": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1285892182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 W CONGRESS ST",
            "address_2": "INTERNAL MEDICINE DEPT",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 W CONGRESS ST",
            "address_2": "INTERNAL MEDICINE DEPT",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705064205",
            "telephone_number": "337-261-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANUSHALI",
        "first_name": "RESHMA",
        "middle_name": "ARUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "204813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.