NPIMap

Individual provider Active NPI

Sundararama Raju Vatsavai, MD

  • Internal Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1477539294
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13175R Issued in LA
Practice address
3600 Florida Blvd
Baton Rouge, LA 70806
Phone
(225) 387-7070
Fax
(225) 387-7700
NPI assigned
Dec 22, 2005
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
Internal Medicine Physician 207R00000X 13175R LA Primary

Addresses

Primary practice location

3600 Florida Blvd
Baton Rouge, LA 70806

Mailing address

PO Box 732094
Dallas, TX 75373-2094
Phone (877) 744-1141

Other practice location 1

8585 Picardy Ave
Baton Rouge, LA 70809-3748
Phone (225) 763-4764

Other identifiers 3

IdentifierTypeStateIssuer
1559300MedicaidLA
1477539294OtherLANPI
P00305911OtherLARAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060217000304 LA Practitioner - Internal Medicine 7517972144 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baton Rouge General Physicians IncGroup PAC ID 5193623643, 189 clinicians
Baton Rouge Clinic, a Medical CorporationGroup PAC ID 1254317001, 285 clinicians

Practice addresses (Care Compare)

14105 Hwy 73
Prairieville, LA 70769-3626

3600 Florida St
Baton Rouge, LA 70806-3842
Phone (225) 387-7000

7373 Perkins Rd
Baton Rouge, LA 70808-4326
Phone (225) 246-9790

8585 Picardy Ave
Baton Rouge, LA 70809-3679

8595 Picardy Ave
Baton Rouge, LA 70809-3675

Hospital & facility affiliations

  • Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065
  • The General Hospital, Baton Rouge, LA, CCN 190316
  • Baton Rouge General Medical Center Inpatient rehabilitation facility, Baton Rouge, LA, CCN 19T065
  • Sage Specialty Hospital Long-term care hospital, Denham Springs, LA, CCN 192008
  • Baton Rouge General Medical Center, SNF Nursing home, Baton Rouge, LA, CCN 195139

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13175RLAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge General Physicians, Inc. Internal Medicine CurrentSince May 1, 2025 Accepting new patients
Baton Rouge Clinic, a Medical Corporation CurrentSince Dec 31, 2018 Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince May 1, 2025 Accepting new patients
Baton Rouge Clinic, a Medical Corporation Internal Medicine CurrentSince Dec 31, 2018 Accepting new patients
Baton Rouge General Medical Center Past Accepting new patients
Baton Rouge General Medical Center Internal Medicine PastSince Jan 1, 2020 Accepting new patients
Sage LTAC LLC Past Accepting new patients
Baton Rouge General Medical Center Past Accepting new patients
Hospital Medicine Group Inc Internal Medicine Past Accepting new patients

Locations

3401 North Blvd
Ste 130
Baton Rouge, LA 70806
Phone (225) 381-2789

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

7373 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 246-9790

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

8595 Picardy Ave
Ste 320
Baton Rouge, LA 70809
Phone (225) 237-1880

610 N Jefferson Ave
Port Allen, LA 70767
Phone (225) 267-6626

14105 Highway 73
Ste 100
Prairieville, LA 70769
Phone (225) 402-2600

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baton Rouge General Medical CenterBaton Rouge, LA, CCN 190065 Hospital Corporate Director Jan 1, 2021
The GeneralBaton Rouge, LA, CCN 190316 Hospital Corporate Director Jan 1, 2020

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477539294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 732094",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753732094",
            "telephone_number": "877-744-1141",
            "fax_number": "225-372-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70806",
            "telephone_number": "225-387-7070",
            "fax_number": "225-387-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8585 Picardy Ave",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708093748",
            "country_code": "US",
            "telephone_number": "225-763-4764",
            "fax_number": "225-763-4549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VATSAVAI",
        "first_name": "SUNDARARAMA",
        "middle_name": "RAJU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "13175R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1559300",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477539294",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00305911",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.