Mamatha Ananth, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

MD11747R Issued in LA

Practice address

433 Plaza St Ste 1a
Bogalusa, LA 70427-3729

Phone

(985) 730-6970

Fax

(985) 730-6398

NPI assigned

Sep 19, 2005

Last updated

Oct 25, 2019By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Children's Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Birmingham, AL
  • NPI 1124541438

  LA, Pediatrics

  Medicare reassignment NPD
• Access Health Louisiana

  dba AHL Eye Associates of West Jefferson

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

  dba St Tammany Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Slidell, LA
  • NPI 1487898946

  Pediatrics

  NPD (past)
• Children's International L.L.C.

  • Pediatrics Physician
  • Slidell, LA
  • NPI 1073620498
  NPD (past)
• Urgent Care for Children, PLLC

  • Pediatrics Physician
  • Hixson, TN
  • NPI 1205434420
  NPD (past)

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1467447185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 PLAZA ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273729",
            "telephone_number": "985-730-6970",
            "fax_number": "985-730-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 PLAZA ST STE 1A",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273729",
            "telephone_number": "985-730-6970",
            "fax_number": "985-730-6398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52579 Highway 51 S",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "LA",
            "postal_code": "704432231",
            "country_code": "US",
            "telephone_number": "985-878-9421",
            "fax_number": "985-878-1285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANANTH",
        "first_name": "MAMATHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "LA",
            "license": "MD11747R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1797103",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah M Adams
• Adapt Inc
• Lynne Porter Alexander, M.D.
• Tonia Alexander
• Angela M Amacker
• Anchor Counseling LLC
• Garland Edward Anderson II, M.D.
• Glenna Anderson
• Angelle Escousse LCSW
• Anoop K Singh MD LLC

• Pediatric Adolescent Medicine Physician in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• Pediatric Adolescent Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.