Individual provider Active NPI

Kalyan Kumar Veerina, MD

  • Interventional Cardiology Physician
  • Opelousas, LA
National Provider Identifier
1619974557
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
13578R Issued in LA
Practice address
1233 Wayne Gilmore Circle
Suite 450
Opelousas, LA 70570-6549
Phone
(337) 942-3006
Fax
(337) 942-7744
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 13578R LA
Interventional Cardiology Physician 207RI0011X 13578R LA Primary

Addresses

Primary practice location

1233 Wayne Gilmore Circle
Suite 450
Opelousas, LA 70570-6549

Mailing address

PO Box 4176
Houma, LA 70361-4176
Phone (985) 876-0300

Other identifiers 2

IdentifierTypeStateIssuer
1431338MedicaidLA
110217737OtherLARR MEDICARE

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
I20040713000488 LA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2365420585 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Institute of the South, LLCGroup PAC ID 3779497441, 145 clinicians

Practice addresses (Care Compare)

1233 Wayne Gilmore Cir
Suite 450
Opelousas, LA 70570-6405
Phone (337) 942-3006

539 E Prudhomme
Opelousas, LA 70570-6499
Phone (337) 948-3011

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting49
Varicose vein removal60
Leg revascularization (restoring blood flow)23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13578RLAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Terrebonne Parish Hospital Service District #1 Internal Medicine Past Accepting new patients
Ark-la-Tex Cardiology, Apmc Cardiovascular Disease PastSince Mar 1, 1991 Accepting new patients
Lsuhn Billing LLC PastSince Sep 1, 2000 Accepting new patients
Advanced Cardiovascular Specialists Cardiovascular Disease PastSince Jul 1, 2017 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1619974557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4176",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703614176",
            "telephone_number": "985-876-0300",
            "fax_number": "985-872-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 WAYNE GILMORE CIRCLE",
            "address_2": "SUITE 450",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706549",
            "telephone_number": "337-942-3006",
            "fax_number": "337-942-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEERINA",
        "first_name": "KALYAN",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "13578R",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": "13578R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1431338",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110217737",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.