Active NPI
Ratnakar Pernenkil, MD
- Interventional Cardiology Physician
- Slidell, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 12972R
- Practice address
- 1051 Gause Blvd
Ste 320
Slidell, LA 70458-2988 - Phone
- (985) 641-7577
- Fax
- (985) 643-0826
- NPI assigned
- May 31, 2005
- Last updated
- Sep 10, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 12972R | LA | |
| Cardiovascular Disease Physician | 207RC0000X | 16262 | MS | |
| Cardiovascular Disease Physician | 207RC0000X | 104069 | MO | |
| Interventional Cardiology Physician | 207RI0011X | 12972R | LA | Primary |
Addresses
Primary practice location
1051 Gause Blvd
Ste 320
Slidell, LA 70458-2988
Mailing address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000
Other practice location 1
1839 Cooper Rd Ste 100
Picayune, MS 39466-2835
Phone (601) 651-3500
Other practice location 2
64040 Highway 434 Ste 105
LaCombe, LA 70445-3499
Phone (985) 882-3261
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06005374 | Other | RAILROAD MEDICARE | |
| 1549738 | Medicaid | LA | |
| 00120579 | Medicaid | MS |
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
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1810 Lindberg Dr
Suite 2100
Slidell, LA 70458-8160
Phone (985) 649-2700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12972R | LA | MD | Cardiovascular Disease Physician |
| 104069 | MO | MD | Cardiovascular Disease Physician |
| 16262 | MS | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iteld Bernstein and Associates LLC | Cardiovascular Disease | Current | Accepting new patients |
| Ochsner Mississippi, LLC | Current | Accepting new patients |
Locations
1514 Jefferson Hwy
New Orleans, LA 70121
1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200
1810 Lindberg Dr
Ste 2100
Slidell, LA 70458
Phone (985) 649-2700
149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600
1839 Cooper Rd
Ste 100
Picayune, MS 39466
Phone (601) 651-3500
Organizations & group practices 2
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.
-
- Cardiovascular Specialist/Technologist
- Slidell, LA
- NPI 1508817396
Cardiovascular Disease
-
- Internal Medicine Physician
- Bay Saint Louis, MS
- NPI 1538674239
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ochsner Medical Center Acute
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- General Acute Care Hospital
- Slidell, LA
- NPI 1578568481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1386647782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 JEFFERSON HWY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701212429",
"telephone_number": "504-842-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 GAUSE BLVD",
"address_2": "STE 320",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704582988",
"telephone_number": "985-641-7577",
"fax_number": "985-643-0826"
}
],
"practiceLocations": [
{
"address_1": "1839 Cooper Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Picayune",
"state": "MS",
"postal_code": "394662835",
"country_code": "US",
"telephone_number": "601-651-3500",
"fax_number": "985-643-0826",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "64040 Highway 434 Ste 105",
"address_purpose": "LOCATION",
"city": "LaCombe",
"state": "LA",
"postal_code": "704453499",
"country_code": "US",
"telephone_number": "985-882-3261",
"fax_number": "985-882-6828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERNENKIL",
"first_name": "RATNAKAR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "LA",
"license": "12972R",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MS",
"license": "16262",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "104069",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "LA",
"license": "12972R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "06005374",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1549738",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00120579",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
- Kimberlie Perez, LPC
- Perfect Imperfections Health & Home Care
- Perfect Imperfections Health & Home Care LLC
- Jenny T Perino
- Claudia Lynette Perkins, MBA, RD, LD
- Christopher Michael Perret, CRNA
- Persephanie Silverthorn PHD Licensed Clinical Psychologist LLC
- Perspectives Counseling
- Pet Center of Louisiana LLC
- Peter Hertzak M.D. PMC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.