Sudha Mardia, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

026251 Issued in LA

Practice address

843 Milling Ave
Luling, LA 70070-4442

Phone

(985) 785-5800

Fax

(985) 785-5811

NPI assigned

Aug 26, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access Health LouisianaGroup PAC ID 3678484276, shared by 50 NPIs, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sudha.mardia.1@11331.direct.athenahealth.com

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.

• Access Health Louisiana

  • Federally Qualified Health Center (FQHC)
  • Norco, LA
  • NPI 1376784868
  Medicare reassignment NPD
• Access Health Louisiana

  • Federally Qualified Health Center (FQHC)
  • Kenner, LA
  • NPI 1417999327

  Family Medicine

  Medicare reassignment NPD
• Access Health Louisiana

  • Federally Qualified Health Center (FQHC)
  • Marrero, LA
  • NPI 1255226429
  NPD
• Access Health Louisiana

  • Federally Qualified Health Center (FQHC)
  • Luling, LA
  • NPI 1902214133
  NPD

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1467445213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 INDIANA AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700654605",
            "telephone_number": "504-575-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 MILLING AVE",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704442",
            "telephone_number": "985-785-5800",
            "fax_number": "985-785-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDIA",
        "first_name": "SUDHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "026251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1576018",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luling Family Dentistry, LLC
• Luling Living Center
• Sara Lyon, LPC
• Bonny Ann Maise, MA, LPC,
• Erin Hargis Marciante, CCC-SLP, L-SLP
• Mary Marino, PT
• Dwaina Brimmer Markey, PHARMD
• Patricia P Marse, CRNA
• Emily Mae Maurin, MA, L-SLP, CCC-SLP
• Mackenzie Eleanor McComas

• Family Medicine Physician in Luling, LA
• Providers in Luling, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.