Individual provider Active NPI

Sanjay Kamboj, M.D.

  • Internal Medicine Physician
  • Kenner, LA
National Provider Identifier
1487676243
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD026647 Issued in LA
Practice address
200 West Esplanade Ave, Ste 205
Lsuhn Multispecialty Clinic/S. Kabboj
Kenner, LA 70065
Phone
(504) 412-1705
Fax
(504) 412-1726
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 26647 LA
Internal Medicine Physician 207R00000X MD026647 LA Primary
Allergy & Immunology Physician 207K00000X MD026647 LA
Hospitalist Physician 208M00000X MD026647 LA

Addresses

Primary practice location

200 West Esplanade Ave, Ste 205
Lsuhn Multispecialty Clinic/S. Kabboj
Kenner, LA 70065

Mailing address

1542 Tulane Ave, Box T4M-2
Lsuhsc- S. Kamboj
New Orleans, LA 70112
Phone (504) 568-5722

Other identifiers 1

IdentifierTypeStateIssuer
1421197MedicaidLA

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
I20070312000608 LA Practitioner - Allergy/Immunology 7618070608 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 W Esplanade Ave
701 Lsu Healthcare Network Kenner
Kenner, LA 70065-2475
Phone (504) 412-1100

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000

2832 Burdette St
New Orleans, LA 70125-2514
Phone (504) 866-2741

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD026647LAMDAllergy & Immunology Physician
26647LAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Aug 29, 2005 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Aug 29, 2005 Accepting new patients
Ochsner Clinic LLC CurrentSince Oct 19, 2020 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Ochsner Clinic LLC Internal Medicine CurrentSince Oct 19, 2020 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
University Medical Center Management Corporation Past Accepting new patients
Ochsner Medical Center - Kenner, L.L.C. Past Accepting new patients
Touro Infirmary Past Accepting new patients

Locations

5825 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-1000

200 W Esplanade Ave
Ste 205
Kenner, LA 70065
Phone (504) 412-1705

200 W Esplanade Ave
Ste 41
Kenner, LA 70065
Phone (504) 464-2940

200 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-2940

200 W Esplanade Ave
Ste 412
Kenner, LA 70065
Phone (504) 464-2940

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

200 W Esplanade Ave
Ste 701
Kenner, LA 70065
Phone (504) 464-8738

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

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

2020 Gravier St
New Orleans, LA 70112
Phone (504) 412-1400

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

1542 Tulane Ave
#T4M2
New Orleans, LA 70112
Phone (504) 568-2577

2021 Perdido St
New Orleans, LA 70112
Phone (504) 412-1800

478 S Johnson St
Fl 6
New Orleans, LA 70112
Phone (504) 412-1819

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 4

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1487676243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 TULANE AVE, BOX T4M-2",
            "address_2": "LSUHSC- S. KAMBOJ",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70112",
            "telephone_number": "504-568-5722",
            "fax_number": "504-567-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WEST ESPLANADE AVE, STE 205",
            "address_2": "LSUHN MULTISPECIALTY CLINIC/S. KABBOJ",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "70065",
            "telephone_number": "504-412-1705",
            "fax_number": "504-412-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMBOJ",
        "first_name": "SANJAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "26647",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD026647",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "LA",
            "license": "MD026647",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "MD026647",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1421197",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.