Chandra S Koritala, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

11870R Issued in LA

Practice address

11408 Lake Sherwood Ave N Ste a
Baton Rouge, LA 70816-0421

Phone

(225) 754-9478

Fax

(225) 659-8033

NPI assigned

Mar 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Anesthesiology Group Associates Inc

  • Specialist
  • Baton Rouge, LA
  • NPI 1255399598
  Medicare reassignment NPD
• Zephyr Anesthesia, LLC

  • Anesthesiology Physician
  • La Place, LA
  • NPI 1891087458
  Medicare reassignment NPD
• Pinnacle Anesthesia, LLC

  • Specialist
  • Baton Rouge, LA
  • NPI 1770024390
  Medicare reassignment
• Dr Wadhwa & Dr Oberoi LLC

  • Anesthesiology Physician
  • La Place, LA
  • NPI 1639188923
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1295796308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11408 LAKE SHERWOOD AVE N STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708160421",
            "telephone_number": "225-754-9478",
            "fax_number": "225-659-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11408 LAKE SHERWOOD AVE N STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708160421",
            "telephone_number": "225-754-9478",
            "fax_number": "225-659-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORITALA",
        "first_name": "CHANDRA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "11870R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1686441",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rama K Kongara, M.D.
• Ashley Nicole Konopada
• Eleanor Koonce
• Thomas Koontz, RPH
• Nancy Gremillion Kora, LDN, RD, CDE
• Leroy W Koschel, DDS
• Robert L Koscick
• Carolyn Kothe, RN
• William Charles Kovach, PT, DPT
• Konstantin Kovtun, M.D.

• Anesthesiology Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Anesthesiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.