Organization Active NPI

Lafayette Heart and Vascular Clinic LLC

  • Cardiovascular Disease Physician
  • Youngsville, LA
National Provider Identifier
1396583118
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
LAFAYETTE HEART AND VASCULAR CLINIC LLC
Practice address
433 La Neuville Rd
Youngsville, LA 70592-5212
Phone
(337) 516-2800
Fax
(337) 516-2801
NPI assigned
Jul 16, 2024
Last updated
Jul 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Dr. Hari Bogabathina, MDNPI 1083714836
Title
Owner
Phone
(440) 781-7978

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

433 La Neuville Rd
Youngsville, LA 70592-5212

Mailing address

433 La Neuville Rd
Youngsville, LA 70592-5212
Phone (337) 516-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240914000471 LA Part B Supplier - Clinic/Group Practice 6507306792 Receives reassigned benefits from 1 practitioner
Practice locations: Youngsville, LA

National Provider Directory

National Provider Directory

Locations

433 La Neuville Rd
Youngsville, LA 70592
Phone (337) 516-2800

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1396583118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 LA NEUVILLE RD",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925212",
            "telephone_number": "337-516-2800",
            "fax_number": "337-516-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 LA NEUVILLE RD",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925212",
            "telephone_number": "337-516-2800",
            "fax_number": "337-516-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE HEART AND VASCULAR CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "BOGABATHINA",
        "authorized_official_first_name": "HARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-781-7978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngsville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.