Individual provider Active NPI

Vininder Singh Khunkhun, M.D.

  • Child & Adolescent Psychiatry Physician
  • New Orleans, LA
National Provider Identifier
1306003504
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD.205696 Issued in LA
Practice address
1440 Canal St # TB33
Dept. of Psychiatry
New Orleans, LA 70112-2703
Phone
(504) 988-5246
Fax
(504) 988-7092
NPI assigned
May 16, 2008
Last updated
Oct 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD448841 PA
Child & Adolescent Psychiatry Physician 2084P0804X MD.205696 LA Primary

Addresses

Primary practice location

1440 Canal St # TB33
Dept. of Psychiatry
New Orleans, LA 70112-2703

Mailing address

1440 Canal St # TB33
Dept. of Psychiatry
New Orleans, LA 70112-2703
Phone (504) 988-5246

Other identifiers 2

IdentifierTypeStateIssuer
295233OtherPAMEDICARE
1080934MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150925001622 LA Practitioner - PsychiatryPractitioner - Pediatric Medicine 0345482121 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Pediatric Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1415 Tulane Ave
New Orleans, LA 70112-2600

500 Roderick St
Suite B
Morgan City, LA 70380-2278
Phone (985) 380-2460

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.205696LAMDChild & Adolescent Psychiatry Physician
MD448841PAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Jul 18, 2015 Accepting new patients
South Central la Human Services Authority CurrentSince Dec 1, 2016 Accepting new patients
South Central la Human Services Authority CurrentSince Dec 1, 2016 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jul 18, 2015 Accepting new patients
Childrens Hospital Medical Practice Corporation Child & Adolescent Psychiatry CurrentSince Jan 26, 2020 Accepting new patients
Center for Resilience Inc PastSince Oct 23, 2022 Accepting new patients

Locations

141 Ormond Center Ct
Destrehan, LA 70047
Phone (985) 764-7337

158 Regal Row
Houma, LA 70360
Phone (985) 876-8822

5599 Highway 311
Houma, LA 70360
Phone (985) 857-3615

805 Barrow St
Houma, LA 70360
Phone (985) 857-3615

1809 W Airline Hwy
La Place, LA 70068
Phone (985) 652-8444

3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880

4641 Fairfield St
Ste F
Metairie, LA 70006
Phone (310) 738-0697

4740 S I 10 Service Rd W
Ste 200
Metairie, LA 70001
Phone (504) 894-5479

500 Roderick St
Ste B
Morgan City, LA 70380
Phone (985) 380-2460

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1440 Canal St
#33
New Orleans, LA 70112
Phone (504) 988-5246

1440 Canal St
Fl Tenth
New Orleans, LA 70112

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

210 State St
Bldg 10
New Orleans, LA 70118
Phone (504) 896-7200

157 Twin Oaks Dr
Raceland, LA 70394
Phone (985) 537-6823

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJJCA

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1306003504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 CANAL ST # TB33",
            "address_2": "DEPT. OF PSYCHIATRY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122703",
            "telephone_number": "504-988-5246",
            "fax_number": "504-988-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 CANAL ST # TB33",
            "address_2": "DEPT. OF PSYCHIATRY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122703",
            "telephone_number": "504-988-5246",
            "fax_number": "504-988-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHUNKHUN",
        "first_name": "VININDER",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD448841",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "LA",
            "license": "MD.205696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "295233",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1080934",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.