Individual provider Active NPI

Asha Khachane

  • Vascular Surgery Physician
  • Covington, LA
National Provider Identifier
1699160341
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
338521 Issued in LA
Practice address
101 Judge Tanner Blvd Ste 106
Covington, LA 70433-7504
Phone
(985) 867-2128
Fax
(833) 573-1393
NPI assigned
Mar 31, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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
Vascular Surgery Physician 2086S0129X 338521 LA Primary

Addresses

Primary practice location

101 Judge Tanner Blvd Ste 106
Covington, LA 70433-7504

Mailing address

1100 Poydras St.
2500 Energy Centre
New Orleans, LA 70163-2500
Phone (504) 527-9953

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
I20231127003001 LA Practitioner - Vascular Surgery 5294070538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Jefferson Physicians Group LLCGroup PAC ID 4587660402, 211 clinicians

Practice addresses (Care Compare)

101 Judge Tanner Blvd
Suite 106
Covington, LA 70433-7504
Phone (985) 867-2128

Hospital & facility affiliations

  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
338521LAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC CurrentSince Oct 1, 2023 Accepting new patients
Metairie Physician Services Inc. Past Accepting new patients
Lakeview Cardiology Specialists, LLC Past Accepting new patients

Locations

101 Judge Tanner Blvd
Ste 106
Covington, LA 70433
Phone (985) 867-2128

101 Judge Tanner Blvd
Ste 300
Covington, LA 70433
Phone (985) 888-8750

807 Riverside Dr
Franklinton, LA 70438
Phone (985) 795-4122

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

1100 Poydras St
Ste 2500
New Orleans, LA 70163
Phone (504) 527-9953

2050 Gause Blvd E
Ste 250
Slidell, LA 70461
Phone (985) 646-4444

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 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": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1699160341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 POYDRAS ST.",
            "address_2": "2500 ENERGY CENTRE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701632500",
            "telephone_number": "504-527-9953",
            "fax_number": "504-527-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JUDGE TANNER BLVD STE 106",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337504",
            "telephone_number": "985-867-2128",
            "fax_number": "833-573-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHACHANE",
        "first_name": "ASHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "LA",
            "license": "338521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.