Active NPI
Anush Manikanden Vasikaran, MD
- Gastroenterology Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 76972-20
- Practice address
- 1501 Kings Hwy
Internal Medicine
Shreveport, LA 71103-4228 - Phone
- (318) 813-2528
- Fax
- (318) 813-2525
- NPI assigned
- Apr 6, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Gastroenterology Physician | 207RG0100X | 76972-20 | WI | Primary |
Addresses
Primary practice location
1501 Kings Hwy
Internal Medicine
Shreveport, LA 71103-4228
Mailing address
1501 Kings Hwy
Internal Medicine
Shreveport, LA 71103-4228
Phone (318) 813-2528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, NY, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
445 Park Ave
Brooklyn, NY 11205-2735
Phone (718) 963-0800
820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711
902 Quentin Rd
Suite 701
Brooklyn, NY 11223-2214
Phone (718) 336-3900
9921 4TH Ave
Brooklyn, NY 11209-8351
Phone (718) 336-3900
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 20 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 45 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76972-20 | WI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parcare Community Health Network Inc | Current | Accepting new patients | |
| Gastroenterology Associates of Brooklyn PLLC | Gastroenterology | Current | Accepting new patients |
| Parcare Community Health Network Inc | Current | Accepting new patients | |
| Central Washington Health Services Association | Current | Accepting new patients | |
| Ozark Tri-County Health Care Consortium | Past | Accepting new patients |
Locations
445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320
6010 Bay Pkwy
Ste 902
Brooklyn, NY 11204
Phone (718) 475-1700
6010 Bay Pkwy
Ste 603
Brooklyn, NY 11204
Phone (718) 236-7520
902 Quentin Rd
Ste 701
Brooklyn, NY 11223
Phone (718) 336-3900
902 Quentin Rd
Fl 7
Brooklyn, NY 11223
Phone (718) 336-3900
902 Quentin Rd
Brooklyn, NY 11223
Phone (718) 336-3900
820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868
1215 S Miller St
Wenatchee, WA 98801
Phone (509) 264-7300
933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IEGGCA
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.
-
- Gastroenterology Physician
- Brooklyn, NY
- NPI 1821427964
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1730454083
-
dba Confluence Health
- Emergency Medical Services (Emergency Medicine) Physician
- Wenatchee, WA
- NPI 1801937453
-
dba Confluence Health
- General Acute Care Hospital
- Wenatchee, WA
- NPI 1881642239
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1942795943
-
dba Access Family Care
- Federally Qualified Health Center (FQHC)
- Joplin, MO
- NPI 1538151733
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1104466630
-
dba St. Anthony Hospital
- General Acute Care Hospital
- Lakewood, CO
- NPI 1164430567
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1740820273
-
dba Flight for Life Colorado
- Air Ambulance
- Lakewood, CO
- NPI 1992425854
Hospital
-
dba Confluence Health
- General Acute Care Hospital
- Wenatchee, WA
- NPI 1306883228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1669836789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 KINGS HWY",
"address_2": "INTERNAL MEDICINE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034228",
"telephone_number": "318-813-2528",
"fax_number": "318-813-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 KINGS HWY",
"address_2": "INTERNAL MEDICINE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034228",
"telephone_number": "318-813-2528",
"fax_number": "318-813-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASIKARAN",
"first_name": "ANUSH",
"middle_name": "MANIKANDEN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-06",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WI",
"license": "76972-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.