Individual provider Active NPI

Vasanthi Vinayagam, MD

  • Family Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1376520650
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14263R Issued in LA
Practice address
3401 North Blvd
Ste 130
Baton Rouge, LA 70806
Phone
(225) 381-2727
Fax
(337) 381-2753
NPI assigned
Dec 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14263R LA Primary

Addresses

Primary practice location

3401 North Blvd
Ste 130
Baton Rouge, LA 70806

Mailing address

8490 Picardy Ave
BLDG 200
Baton Rouge, LA 70809-3731
Phone (225) 237-1754

Other identifiers 2

IdentifierTypeStateIssuer
080179874OtherLARAILROAD MEDICARE
1574228MedicaidLA

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
I20100908001144 LA Practitioner - Family Practice 1355466780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baton Rouge General Physicians Medical Group LLCGroup PAC ID 3779759030, 4 clinicians

Practice addresses (Care Compare)

5353 Florida Blvd
Baton Rouge, LA 70806-4130
Phone (225) 367-4558

Hospital & facility affiliations

  • Divine Grace Healthcare Inc Hospice, Houston, TX, CCN A91563
  • Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge General Physicians Medical Group, LLC Current Accepting new patients
Baton Rouge General Physicians Medical Group, LLC Family Medicine CurrentSince Jan 1, 2014 Accepting new patients
Baton Rouge General Primary Care, LLC Family Medicine CurrentSince Jan 1, 2014 Accepting new patients
Baton Rouge General Physicians Medical Group, LLC Family Medicine Past Accepting new patients

Locations

8490 Picardy Ave
Ste 200
Baton Rouge, LA 70809
Phone (225) 237-1754

10127 Florida Blvd
Baton Rouge, LA 70815
Phone (225) 272-0106

3401 North Blvd
Ste 130
Baton Rouge, LA 70806
Phone (225) 381-2789

3401 North Blvd
Ste 300
Baton Rouge, LA 70806
Phone (225) 381-2727

5353 Florida Blvd
Baton Rouge, LA 70806
Phone (225) 367-4558

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.

Hospital & facility affiliations 7

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1376520650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8490 PICARDY AVE",
            "address_2": "BLDG 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093731",
            "telephone_number": "225-237-1754",
            "fax_number": "225-237-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 NORTH BLVD",
            "address_2": "STE 130",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70806",
            "telephone_number": "225-381-2727",
            "fax_number": "337-381-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINAYAGAM",
        "first_name": "VASANTHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "14263R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080179874",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1574228",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.