NPIMap

Individual provider Active NPI

Mohit Srivastava, MD

  • Internal Medicine Physician
  • Bunkie, LA
National Provider Identifier
1619945656
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15625 R Issued in LA
Practice address
109 N Lexington Ave
Bunkie, LA 71322-1619
Phone
(318) 346-7283
NPI assigned
Mar 8, 2006
Last updated
Jan 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15625 R LA Primary

Addresses

Primary practice location

109 N Lexington Ave
Bunkie, LA 71322-1619

Mailing address

PO Box 380
Bunkie, LA 71322-0380
Phone (318) 346-6681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040814000106 LA Practitioner - Internal Medicine 7012980436 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

109 N Lexington Ave
Bunkie, LA 71322-1619
Phone (318) 346-7283

427 Evergreen St
Bunkie, LA 71322-3901
Phone (318) 346-6681

510 S Cottonwood Family Care Clini
Bunkie, LA 71322-1135
Phone (318) 346-3339

510 S Cottonwood St
Bunkie, LA 71322-1135

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15625 RLAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Bernard Physician Services, LLC CurrentSince Feb 1, 2018 Accepting new patients
Ambassador Physician Services LLC CurrentSince Mar 22, 2007 Accepting new patients
Hospital Service District No 1 Parish of Avoyelles State of Louisiana CurrentSince Jul 1, 2004 Accepting new patients
Hospital Service District No 1 Parish of Avoyelles State of Louisiana Current Accepting new patients
Main Street Physician Services LLC CurrentSince Dec 1, 2014 Accepting new patients
Opelousas Physician Services LLC CurrentSince Jul 1, 2013 Accepting new patients
Emergency Staffing Solutions Inc CurrentSince May 14, 2010 Accepting new patients
Hub City Physician Group, LLC CurrentSince Sep 14, 2015 Accepting new patients
Passages Hospice North - Cenla, LLC Past Accepting new patients
Hospital Service District No1 Parish of Avoyelles State of Louisiana Past Accepting new patients
Hospital Service District No 1 Parish of Avoyelles State of la Past Accepting new patients

Locations

323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600

109 N Lexington Ave
Bunkie, LA 71322
Phone (318) 346-7283

427 Evergreen St
Bunkie, LA 71322
Phone (318) 346-6681

8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

1310 W 7th St
Kaplan, LA 70548
Phone (318) 643-8300

200 Corporate Blvd
Lafayette, LA 70508

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423

310 Youngsville Hwy
Lafayette, LA 70508
Phone (337) 837-5250

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

2315 E Main St
Fl 3
New Iberia, LA 70560
Phone (337) 369-1100

600 N Lewis St
New Iberia, LA 70563
Phone (337) 365-7311

539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128

Interoperability endpoints

  • Direct secure messaging: msrivastava508334@direct.ochsner.org

Organizations & group practices 12

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 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1619945656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380",
            "city": "BUNKIE",
            "state": "LA",
            "postal_code": "713220380",
            "telephone_number": "318-346-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N LEXINGTON AVE",
            "city": "BUNKIE",
            "state": "LA",
            "postal_code": "713221619",
            "telephone_number": "318-346-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIVASTAVA",
        "first_name": "MOHIT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "15625 R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bunkie, LA

Sources for this page

Verify at the official NPI Registry.