NPIMap

Individual provider Active NPI

Niruban Nirthananthan

  • Family Medicine Physician
  • Delhi, LA
National Provider Identifier
1710465810
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
329164 Issued in LA
Practice address
407 Cincinnati St
Delhi, LA 71232-3007
Phone
(318) 878-3737
Fax
(318) 878-6420
NPI assigned
Jul 31, 2018
Last updated
Nov 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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 NU
Family Medicine Physician 207Q00000X 329164 LA Primary

Addresses

Primary practice location

407 Cincinnati St
Delhi, LA 71232-3007

Mailing address

407 Cincinnati St
Delhi, LA 71232-3007
Phone (318) 878-3737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211123000179 LA Practitioner - Family Practice 7315298015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Service District No 1a of the Parish of Richland State of laGroup PAC ID 1456307230, shared by 10 NPIs, 31 clinicians

Practice addresses (Care Compare)

407 Cincinnati St
Delhi, LA 71232-3007
Phone (318) 878-5171

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
329164LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No 1-a of the Parish of Richland State of la Current Accepting new patients
Hospital Service District No 1-a of the Parish of Richland State of la CurrentSince Nov 10, 2021 Accepting new patients
Hospital Service District No 1-a of the Parish of Richland State of la Family Medicine CurrentSince Nov 10, 2021 Accepting new patients
Tallulah Opco LLC Past Accepting new patients
Deerfield Nursing & Rehabilitation Center, LLC Past Accepting new patients

Locations

407 Cincinnati St
Delhi, LA 71232
Phone (318) 878-5171

501 Broadway St
Delhi, LA 71232
Phone (318) 878-6650

508 Broadway St
Delhi, LA 71232
Phone (318) 878-3737

Interoperability endpoints

  • Direct secure messaging: niruban.nirthananthan.1@13199.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1710465810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 CINCINNATI ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712323007",
            "telephone_number": "318-878-3737",
            "fax_number": "318-878-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 CINCINNATI ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712323007",
            "telephone_number": "318-878-3737",
            "fax_number": "318-878-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIRTHANANTHAN",
        "first_name": "NIRUBAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-31",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "329164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delhi, LA

Sources for this page

Verify at the official NPI Registry.