Active NPI
Asha Khachane
- Vascular Surgery Physician
- Covington, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 338521
- 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
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 | |||
| 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
Enrollment records 1
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
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
- Slidell Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 338521 | LA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Jefferson Physicians Group LLC | Current | 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.
-
- Internal Medicine Physician
- New Orleans, LA
- NPI 1922293372
-
- Cardiovascular Disease Physician
- Covington, LA
- NPI 1013344027
-
- Internal Medicine Physician
- Metairie, LA
- NPI 1801233648
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Slidell, LA
- NPI 1578568481
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.