NPIMap

Individual provider Active NPI

Ramprasad Kandavar, MD

  • Nephrology Physician
  • New Orleans, LA
National Provider Identifier
1669558920
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD.201168 Issued in LA
Practice address
1415 Tulane Avenue
New Orleans, LA 70112
Phone
(504) 988-2300
Fax
(504) 988-7144
NPI assigned
Oct 30, 2006
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 201168 LA
Nephrology Physician 207RN0300X MD.201168 LA Primary

Addresses

Primary practice location

1415 Tulane Avenue
New Orleans, LA 70112

Mailing address

711 Wood St Ste a
Monroe, LA 71201-7564
Phone (504) 988-7518

Other identifiers 1

IdentifierTypeStateIssuer
1408409MedicaidLA

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
I20070507000336 LA Practitioner - NephrologyPractitioner - Internal Medicine 8325144405 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Louisiana Kidney Specialists,LLCGroup PAC ID 5799748182, 8 clinicians

Practice addresses (Care Compare)

711 Wood St a
Monroe, LA 71201-7549
Phone (318) 323-8847

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201168LAMDInternal Medicine Physician
MD.201168LAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Oct 1, 2007 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Oct 1, 2007 Accepting new patients
Northeast Louisiana Kidney Specialists,LLC Nephrology CurrentSince Jan 20, 2020 Accepting new patients
The Administrators of the Tulane Educational Fund Past Accepting new patients
Administrators of the Tulane Education Fund PastSince Jul 31, 2023 Accepting new patients

Locations

711 Wood St
Ste A
Monroe, LA 71201
Phone (318) 323-8847

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1450 Poydras St
New Orleans, LA 70112
Phone (504) 903-2373

Organizations & group practices 5

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 9

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": "1162166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1669558920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 WOOD ST STE A",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017564",
            "telephone_number": "504-988-7518",
            "fax_number": "504-988-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 TULANE AVENUE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70112",
            "telephone_number": "504-988-2300",
            "fax_number": "504-988-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDAVAR",
        "first_name": "RAMPRASAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-30",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "201168",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "MD.201168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1408409",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.