Northlake Cardiology and Wellcare Center

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

NORTHLAKE CARDIOLOGY AND WELLCARE CENTER

Practice address

804 Heavens Dr
Mandeville, LA 70471-2890

Phone

(985) 807-1133

NPI assigned

Oct 18, 2022

Last updated

Oct 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Prashanthi Atluri, MDNPI 1396934964

Title

Medical Doctor

Phone

(504) 451-5934

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Prashanthi Atluri, MD

  • Cardiovascular Disease Physician
  • Frisco, TX
  • NPI 1396934964

  LA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1396461653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 HEAVENS DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704712890",
            "telephone_number": "985-807-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 HEAVENS DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704712890",
            "telephone_number": "985-807-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAKE CARDIOLOGY AND WELLCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "ATLURI",
        "authorized_official_first_name": "PRASHANTHI",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "504-451-5934",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Normal Life of Louisiana, Inc.
• Normal Life of Louisiana, Inc.
• Normal Life of Louisiana, Inc.
• North American Toxicology
• North Shore Heart and Vascular, L.L.C.
• Northlake Dental LLC (Northlake Dental)
• Northlake Foot and Ankle Inc.
• Northlake Medical Psychology and Counseling
• Northlake Physical Therapy and Rehabilitation Services, Inc.
• Northlake Physicians Group (The Ness Center)

• Cardiovascular Disease Physician in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Cardiovascular Disease Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.