Individual provider Active NPI

Ashwin Pannathpur Jaikishen, M.D.

  • Nephrology Physician
  • Metairie, LA
National Provider Identifier
1437449923
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD.207430 Issued in LA
Practice address
4409 Utica St Ste 100
Metairie, LA 70006-6579
Phone
(504) 457-3687
NPI assigned
Apr 18, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD.207430 LA Primary

Addresses

Primary practice location

4409 Utica St Ste 100
Metairie, LA 70006-6579

Mailing address

4409 Utica St Ste 100
Metairie, LA 70006-6579
Phone (504) 457-3687

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
I20141202000289 LA Practitioner - Internal Medicine 6305087685 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Orleans Nephrology Associates LLCGroup PAC ID 8224070719, 12 clinicians

Practice addresses (Care Compare)

2717 Decatur St
Kenner, LA 70062-5025
Phone (504) 469-1075

3027 Jean Lafitte Pkwy
Chalmette, LA 70043-4035
Phone (504) 457-3687

3030 N Arnoult Rd
Metairie, LA 70002-4715
Phone (504) 457-3498

4200 Houma Blvd
Metairie, LA 70006-2970
Phone (504) 454-4855

4409 Utica St
Suite 100
Metairie, LA 70006-6530

4409 Utica St
Suite 100
Metairie, LA 70006-6579
Phone (504) 457-3687

4425 Utica St
Metairie, LA 70006-6530
Phone (504) 455-5535

5620 Read Blvd
New Orleans, LA 70127-3106
Phone (504) 592-6610

630 Deckbar Ave
Jefferson, LA 70121-2312
Phone (504) 837-0021

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coolidge Physician Services LLC CurrentSince Nov 1, 2014 Accepting new patients
Hub City Physician Group, LLC CurrentSince Oct 23, 2015 Accepting new patients
Bio-Medical Applications of Louisiana, LLC PastSince Feb 17, 2025 Accepting new patients

Locations

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

200 Corporate Blvd
Lafayette, LA 70508

Interoperability endpoints

  • Direct secure messaging: ajaikishen24782@direct.acumenmd.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437449923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 UTICA ST STE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700066579",
            "telephone_number": "504-457-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 UTICA ST STE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700066579",
            "telephone_number": "504-457-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIKISHEN",
        "first_name": "ASHWIN",
        "middle_name": "PANNATHPUR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "MD.207430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.