Individual provider Active NPI

Rachana N. Sus, M.D.

  • Internal Medicine Physician
  • Metairie, LA
National Provider Identifier
1386835437
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.202429 Issued in LA
Practice address
4720 S I 10 Service Rd W
Suite 101
Metairie, LA 70001-7404
Phone
(504) 988-8050
Fax
(504) 988-8051
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.202429 LA Primary

Addresses

Primary practice location

4720 S I 10 Service Rd W
Suite 101
Metairie, LA 70001-7404

Mailing address

1430 Tulane Ave # SL-16
New Orleans, LA 70112-2632
Phone (504) 988-1940

Other identifiers 2

IdentifierTypeStateIssuer
07420235MedicaidMS
1091499MedicaidLA

Other names 1

  • Rachana S Ambardar Former name

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
I20081029000810 LA Practitioner - Internal Medicine 3274692660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Administrators of the Tulane Educational FundGroup PAC ID 0446163760, 388 clinicians

Practice addresses (Care Compare)

4720 S I 10 Service Rd W
Metairie, LA 70001-7404
Phone (504) 988-8070

Hospital & facility affiliations

  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.202429LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Mar 25, 2013 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Mar 25, 2013 Accepting new patients

Locations

4720 S I 10 Service Rd W
Ste 101
Metairie, LA 70001
Phone (504) 885-6000

4224 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 456-6188

4720 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-4583

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

1430 Tulane Ave
#16
New Orleans, LA 70112
Phone (504) 988-1940

1430 Tulane Ave
#22
New Orleans, LA 70112

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1386835437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE # SL-16",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-1940",
            "fax_number": "504-988-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 S I 10 SERVICE RD W",
            "address_2": "SUITE 101",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700017404",
            "telephone_number": "504-988-8050",
            "fax_number": "504-988-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUS",
        "first_name": "RACHANA",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.202429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07420235",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1091499",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHANA",
            "last_name": "AMBARDAR",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.