Individual provider Active NPI

Pavana Lalithya Sakhamuri

  • Rheumatology Physician
  • Lafayette, LA
National Provider Identifier
1548897002
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
347151 Issued in LA
Practice address
1211 Coolidge Blvd Ste 203
Lafayette, LA 70503-2637
Phone
(337) 703-6383
NPI assigned
Mar 25, 2020
Last updated
Aug 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 347151 LA Primary

Addresses

Primary practice location

1211 Coolidge Blvd Ste 203
Lafayette, LA 70503-2637

Mailing address

1211 Coolidge Blvd Ste 203
Lafayette, LA 70503-2637
Phone (337) 703-6383

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
I20250911003781 LA Practitioner - Rheumatology 0345664090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Practice addresses (Care Compare)

1211 Coolidge Blvd
Suite 203
Lafayette, LA 70503-2637
Phone (337) 703-6383

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
347151LAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette General Medical Center Inc. CurrentSince Aug 25, 2025 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Aug 25, 2025 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
Lafayette General Medical Center Inc. CurrentSince Aug 25, 2025 Accepting new patients
Lafayette Health Ventures Inc. CurrentSince Aug 25, 2025 Accepting new patients
Lafayette Health Ventures, Inc Past Accepting new patients
Lafayette General Medical Center Inc Past Accepting new patients

Locations

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

1211 Coolidge Blvd
Ste 203
Lafayette, LA 70503
Phone (337) 233-2535

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

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

Organizations & group practices 7

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 3

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1548897002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 COOLIDGE BLVD STE 203",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032637",
            "telephone_number": "337-703-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 COOLIDGE BLVD STE 203",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032637",
            "telephone_number": "337-703-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKHAMURI",
        "first_name": "PAVANA LALITHYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "LA",
            "license": "347151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.