Active NPI
Vasanth Kumar Bethala, M.D.
- Interventional Cardiology Physician
- Slidell, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 09114R
- Practice address
- 1051 Gause Blvd.
Suite 230
Slidell, LA 70458 - Phone
- (985) 641-7577
- Fax
- (985) 643-0826
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 09114R | LA | |
| Cardiovascular Disease Physician | 207RC0000X | 13115 | MS | |
| Interventional Cardiology Physician | 207RI0011X | 09114R | LA | Primary |
Addresses
Primary practice location
1051 Gause Blvd.
Suite 230
Slidell, LA 70458
Mailing address
1514 Jefferson Hwy.
New Orleans, LA 70121
Phone (504) 842-4000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00110414 | Medicaid | MS | |
| 1930636 | Medicaid | LA | |
| 060018918 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Gause Blvd
Slidell, LA 70458-2939
Phone (985) 646-5970
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09114R | LA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients |
Locations
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131
1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200
1051 Gause Blvd
Ste 340
Slidell, LA 70458
1051 Gause Blvd
Ste 230
Slidell, LA 70458
Phone (985) 280-9855
1051 Gause Blvd
Ste 320
Slidell, LA 70458
Phone (985) 641-7577
149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600
4540 Shepherd Sq
#C
Diamondhead, MS 39525
Phone (228) 255-8526
1839 Cooper Rd
Ste 100
Picayune, MS 39466
Phone (601) 651-3500
Interoperability endpoints
- vbethala227284@direct.ochsner.org
Organizations & group practices 6
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.
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Internal Medicine Physician
- Bay Saint Louis, MS
- NPI 1538674239
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- General Practice Physician
- Marrero, LA
- NPI 1811436777
-
- Internal Medicine Physician
- Diamondhead, MS
- NPI 1316662059
-
- Internal Medicine Physician
- Picayune, MS
- NPI 1881296036
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- General Acute Care Hospital
- Slidell, LA
- NPI 1578568481
-
- Internal Medicine Physician
- Covington, LA
- NPI 1083793582
Hospital
-
- Pulmonary Disease Physician
- Covington, LA
- NPI 1285285874
Hospital
-
- General Acute Care Hospital
- Covington, LA
- NPI 1598798597
-
- General Acute Care Hospital
- Picayune, MS
- NPI 1053350462
-
- General Acute Care Hospital
- Bay Saint Louis, MS
- NPI 1588629968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681344000000",
"number": "1548263999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 JEFFERSON HWY.",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70121",
"telephone_number": "504-842-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 GAUSE BLVD.",
"address_2": "SUITE 230",
"city": "SLIDELL",
"state": "LA",
"postal_code": "70458",
"telephone_number": "985-641-7577",
"fax_number": "985-643-0826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETHALA",
"first_name": "VASANTH",
"middle_name": "KUMAR",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2023-04-13",
"certification_date": "2023-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "LA",
"license": "09114R",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MS",
"license": "13115",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "LA",
"license": "09114R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00110414",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1930636",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060018918",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.