Individual provider Active NPI

Ananth Desikacharlu, M.D

  • Anesthesiology Physician
  • New Orleans, LA
National Provider Identifier
1679656326
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
13298R Issued in LA
Practice address
1415 Foucher Street
Touro Infirmary, Dept. of Anesthesiology
New Orleans, LA 70115
Phone
(504) 897-8308
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 13298R LA Primary

Addresses

Primary practice location

1415 Foucher Street
Touro Infirmary, Dept. of Anesthesiology
New Orleans, LA 70115

Mailing address

1 Falcon Dr
Mandeville, LA 70471-2952
Phone (985) 727-3105

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
I20050120000588 LA Practitioner - Anesthesiology 8628027257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Childrens Hospital Anesthesia CorporationGroup PAC ID 0446152862, 281 clinicians

Practice addresses (Care Compare)

1401 Foucher St
New Orleans, LA 70115-3515
Phone (504) 897-7011

Hospital & facility affiliations

  • Touro Infirmary Hospital, New Orleans, LA, CCN 190046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13298RLAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Hospital Anesthesia Corporation Anesthesiology CurrentSince Jun 1, 2017 Accepting new patients
Northlake Anesthesiologists, a Professional Corporation Anesthesiology Past Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients

Locations

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

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

Organizations & group practices 3

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 2

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679656326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FALCON DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704712952",
            "telephone_number": "985-727-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 FOUCHER STREET",
            "address_2": "TOURO INFIRMARY, DEPT. OF ANESTHESIOLOGY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70115",
            "telephone_number": "504-897-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESIKACHARLU",
        "first_name": "ANANTH",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "13298R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.