Organization Active NPI

Pathak Consulting LLC

  • Physical Medicine & Rehabilitation Physician
  • Hammond, LA
National Provider Identifier
1609694520
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PATHAK CONSULTING LLC
Practice address
42367 Jefferson Dr
Hammond, LA 70403-2161
Phone
(631) 278-0036
NPI assigned
Sep 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Rishi Pathak, MDNPI 1861836868
Title
Owner
Phone
(631) 278-0036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

42367 Jefferson Dr
Hammond, LA 70403-2161

Mailing address

42367 Jefferson Dr
Hammond, LA 70403-2161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250106000159 LA Part B Supplier - Clinic/Group Practice 8820526882 Receives reassigned benefits from 2 practitioners
Practice locations: Hammond, LA

National Provider Directory

National Provider Directory

Locations

69164 Highway 59
Ste 4
Mandeville, LA 70471
Phone (949) 324-2020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1609694520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42367 JEFFERSON DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704032161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42367 JEFFERSON DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704032161",
            "telephone_number": "631-278-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHAK CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "PATHAK",
        "authorized_official_first_name": "RISHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-278-0036",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.