Active NPI
Nihal Tejas Godiwala, M.D.
- Pediatric Critical Care Medicine Physician
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 302063
- Practice address
- 4600 Ambassador Caffery Pkwy
Lafayette, LA 70508-6902 - Phone
- (337) 470-2605
- Fax
- (337) 470-4595
- NPI assigned
- Apr 29, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 302063 | LA | Primary |
Addresses
Primary practice location
4600 Ambassador Caffery Pkwy
Lafayette, LA 70508-6902
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (337) 470-2605
Other practice location 1
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 896-2723
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160629000659 | LA | Practitioner - Critical Care (Intensivists) | 6608191994 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Tulane University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Louisiana State University School of Med in New Orleans Faculty Grou
Practice addresses (Care Compare)
200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (504) 412-1860
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302063 | LA | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lourdes Physician Group LLC | Current | Accepting new patients | |
| Louisiana State University School of Med in New Orleans Faculty Grou | Pediatrics | Current | Accepting new patients |
| Children'S Hospital | Past | Accepting new patients | |
| Children'S Hospital | Past | Accepting new patients |
Locations
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011
4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000
4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135
200 Henry Clay Ave
Fl 1
New Orleans, LA 70118
Phone (504) 232-1562
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860
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.
-
- Pediatrics Physician
- New Orleans, LA
- NPI 1932492626
LA, Pediatrics
-
- Children's Hospital
- New Orleans, LA
- NPI 1104819366
-
- Children's Hospital
- Washington, DC
- NPI 1912939703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1295052272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 S SHERWOOD FOREST BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708166038",
"telephone_number": "337-470-2605",
"fax_number": "225-765-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 AMBASSADOR CAFFERY PKWY",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705086902",
"telephone_number": "337-470-2605",
"fax_number": "337-470-4595"
}
],
"practiceLocations": [
{
"address_1": "200 Henry Clay Ave",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "70118",
"country_code": "US",
"telephone_number": "504-896-2723",
"fax_number": "504-896-2720",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GODIWALA",
"first_name": "NIHAL",
"middle_name": "TEJAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-29",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "LA",
"license": "302063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.