Individual provider Active NPI

Vijaya Jayagopal, M.D.

  • Anesthesiology Physician
  • Bogalusa, LA
National Provider Identifier
1447293139
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
05368R Issued in LA
Practice address
1407 Avenue F
Bogalusa, LA 70427-4340
Phone
(985) 732-3263
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 05368R LA Primary

Addresses

Primary practice location

1407 Avenue F
Bogalusa, LA 70427-4340

Mailing address

19426 Pinewood Drive
Bogalusa, LA 70427
Phone (985) 735-7305

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
I20050808000157 LA Practitioner - Anesthesiology 5092744383 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05368RLAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Youngs Professional Services LLC CurrentSince Feb 1, 2016 Accepting new patients

Locations

4630 Ambassador Caffery Pkwy
Ste 101
Lafayette, LA 70508
Phone (337) 289-3324

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135

1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225

2309 E Main St
Ste 300
New Iberia, LA 70560
Phone (337) 560-1801

600 N Lewis St
New Iberia, LA 70563
Phone (337) 365-7311

Interoperability endpoints

  • Direct secure messaging: vjayagopal1443453@direct.ochsner.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447293139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19426 PINEWOOD DRIVE",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "70427",
            "telephone_number": "985-735-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 AVENUE F",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704274340",
            "telephone_number": "985-732-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYAGOPAL",
        "first_name": "VIJAYA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "05368R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogalusa, LA

Sources for this page

Verify at the official NPI Registry.