Individual provider Active NPI

Anush Manikanden Vasikaran, MD

  • Gastroenterology Physician
  • Shreveport, LA
National Provider Identifier
1669836789
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
76972-20 Issued in WI
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

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220825000976 WI Practitioner - GastroenterologyPractitioner - Internal Medicine 7517253651
I20231025001636 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 7517253651 Reassigns benefits to 2 organizations
I20251216004465 WA Practitioner - Gastroenterology 7517253651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Parcare Community Health Network IncGroup PAC ID 4981823390, 99 clinicians
Gastroenterology Associates of Brooklyn PLLCGroup PAC ID 9830322312, 16 clinicians

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

ProcedureNumber of procedures
Colonoscopy20
Upper gastrointestinal (GI) endoscopy for acid reflux45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76972-20WIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parcare Community Health Network Inc CurrentSince May 1, 2024 Accepting new patients
Gastroenterology Associates of Brooklyn PLLC Gastroenterology CurrentSince Sep 2, 2023 Accepting new patients
Parcare Community Health Network Inc CurrentSince May 1, 2024 Accepting new patients
Central Washington Health Services Association CurrentSince Dec 1, 2025 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

  • FHIR API: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.