Individual provider Active NPI

Karina Fatova, MD

  • Psychiatry Physician
  • New Orleans, LA
National Provider Identifier
1700206745
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
302022 Issued in LA
Practice address
1525 River Oaks Rd W
New Orleans, LA 70123-2162
Phone
(504) 734-1740
NPI assigned
Apr 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 302022 LA Primary

Addresses

Primary practice location

1525 River Oaks Rd W
New Orleans, LA 70123-2162

Mailing address

1525 River Oaks Rd W
New Orleans, LA 70123-2199
Phone (504) 734-1740

Other practice location 1

1440 Canal St # 53
New Orleans, LA 70112-2703
Phone (504) 988-4272

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
I20180815001005 LA Practitioner - Psychiatry 8820347438 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Albert Einstein College of Medicine of Yeshiva University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

3350 Ridgelake Dr
Suite 200
Metairie, LA 70002-3831
Phone (833) 351-8255

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unlimited Performance Corp CurrentSince Sep 15, 2024 Accepting new patients
River Oaks Inc Psychiatry CurrentSince Jul 1, 2018 Accepting new patients
River Oaks Inc CurrentSince Jul 1, 2018 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Jan 6, 2025 Accepting new patients
Tulane School Department of Psychiatry Past Accepting new patients

Locations

301 Main St
Ste 2200
Baton Rouge, LA 70801
Phone (225) 329-2337

3350 Ridgelake Dr
Ste 200
Metairie, LA 70002
Phone (504) 434-0017

1525 River Oaks Rd W
New Orleans, LA 70123
Phone (504) 733-2273

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1700206745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 RIVER OAKS RD W",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701232199",
            "telephone_number": "504-734-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 RIVER OAKS RD W",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701232162",
            "telephone_number": "504-734-1740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1440 Canal St # 53",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701122703",
            "country_code": "US",
            "telephone_number": "504-988-4272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FATOVA",
        "first_name": "KARINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "302022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.