Individual provider Active NPI

Sachin Babanao Thorat, M.D.

  • Neurology Physician
  • Bossier City, LA
National Provider Identifier
1538333174
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2500011049 Issued in MO
Practice address
2400 Hospital Dr
Suite 310
Bossier City, LA 71111-2385
Phone
(318) 741-2900
Fax
(318) 741-2999
NPI assigned
Apr 15, 2008
Last updated
Jan 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2500011049 MO Primary

Addresses

Primary practice location

2400 Hospital Dr
Suite 310
Bossier City, LA 71111-2385

Mailing address

2400 Hospital Dr
Suite 310
Bossier City, LA 71111-2385
Phone (318) 741-2900

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
I20140311001090 LA Practitioner - Neurosurgery 2062664170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Neurology ClinicGroup PAC ID 2062649379, 4 clinicians

Practice addresses (Care Compare)

2400 Hospital Dr
Suite 310
Bossier City, LA 71111-2387
Phone (318) 741-2900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.53 of 100Reported as apm
Quality
81.42
Promoting interoperability
94.6
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2500011049MOMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WK Neurology Clinic Neurology CurrentSince Feb 1, 2014 Accepting new patients

Locations

2400 Hospital Dr
Ste 310
Bossier City, LA 71111
Phone (318) 212-7810

Interoperability endpoints

  • Direct secure messaging: sthorat@direct.wkhs.com

Organizations & group practices 1

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.

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": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1538333174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL DR",
            "address_2": "SUITE 310",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112385",
            "telephone_number": "318-741-2900",
            "fax_number": "318-741-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL DR",
            "address_2": "SUITE 310",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112385",
            "telephone_number": "318-741-2900",
            "fax_number": "318-741-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORAT",
        "first_name": "SACHIN",
        "middle_name": "BABANAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2500011049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.