Amar Harshad Dave, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD.204628 Issued in LA

Practice address

4245 Winbourne Ave
Baton Rouge, LA 70805-6062

Phone

(225) 357-2248

Fax

(225) 357-0158

NPI assigned

Jun 16, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Interoperability endpoints

• Direct secure messaging: adave5310226@direct.casso.us.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.

• Children's Hospital

  dba Manning Family Children's

  • Specialist
  • New Orleans, LA
  • NPI 1043230873

  Pediatrics

  Medicare reassignment NPD
• Childrens Hospital Medical Practice Corporation

  • Pediatrics Physician
  • New Orleans, LA
  • NPI 1821090713
  Medicare reassignment NPD
• St Tammany Emergency Physicians Group LLC

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1891187654
  Medicare reassignment NPD
• Children's Hospital

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • New Orleans, LA
  • NPI 1568597649
  NPD
• Hospital Service District 1 of East Baton Rouge Parish

  dba Lane Regional Medical Center

  • General Acute Care Hospital
  • Zachary, LA
  • NPI 1376591941
  NPD (past)

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1538329370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 MIRABELLA LN",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704330882",
            "telephone_number": "225-439-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 WINBOURNE AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708056062",
            "telephone_number": "225-357-2248",
            "fax_number": "225-357-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "AMAR",
        "middle_name": "HARSHAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.204628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1087254",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ray Scott Daugherty Jr., MD
• Robyn Deranger Daugherty, M.D.
• Francis Ralph Dauterive, M.D.
• Virginia Ruth Dauterive, MSW, CSW
• Amar Dave, MD
• Christopher Davenport
• Latoya Davenport
• Ozura Davenport, LMT
• Tylea Deshea Davenport, BSW
• Lauren Nicole Davezac, MD

• Pediatrics Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.