Individual provider Active NPI

Rajiv Khurana, M.D.

  • Neurology Physician
  • Metairie, LA
National Provider Identifier
1649337700
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
L#08395R Issued in LA
Practice address
3800 Houma Blvd
Suite 110
Metairie, LA 70006-4182
Phone
(504) 455-4999
Fax
(504) 455-9031
NPI assigned
Jan 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X L#08395R LA Primary
Interventional Pain Medicine Physician 208VP0014X L#08395R LA

Addresses

Primary practice location

3800 Houma Blvd
Suite 110
Metairie, LA 70006-4182

Mailing address

PO Box 641254
Kenner, LA 70064-1254
Phone (504) 455-4999

Other identifiers 1

IdentifierTypeStateIssuer
1909807MedicaidLA

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
I20080508000769 LA Practitioner - NeurologyPractitioner - Interventional Pain ManagementPractitioner - Psychiatry 6800975392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Interventional Pain Management, Psychiatry
Education
Other, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3800 Houma Blvd
Suite 110
Metairie, LA 70006-4150
Phone (504) 455-4999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L#08395RLAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Headache and Spine,L.L.C. CurrentSince Nov 7, 2007 Accepting new patients

Locations

3800 Houma Blvd
Ste 110
Metairie, LA 70006
Phone (504) 455-4999

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228348800000",
    "number": "1649337700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641254",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700641254",
            "telephone_number": "504-455-4999",
            "fax_number": "504-455-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HOUMA BLVD",
            "address_2": "SUITE 110",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064182",
            "telephone_number": "504-455-4999",
            "fax_number": "504-455-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHURANA",
        "first_name": "RAJIV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2008-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "L#08395R",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "LA",
            "license": "L#08395R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1909807",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.