Organization Active NPI

Prostate Cancer Institute of Louisiana PC

  • Radiation Oncology Physician
  • Covington, LA
National Provider Identifier
1740147131
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
PROSTATE CANCER INSTITUTE OF LOUISIANA PC
Practice address
71207 Highway 21
Covington, LA 70433-7121
Phone
(985) 271-8990
Fax
(985) 271-8991
NPI assigned
Jan 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Authorized official

Name
Ajay Bhatnagar, MDNPI 1417161704
Title
Owner and Physician
Phone
(985) 271-8990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

71207 Highway 21
Covington, LA 70433-7121

Mailing address

PO Box 15088
Phoenix, AZ 85060-5088
Phone (985) 271-8990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20260327003771 LA Part B Supplier - Clinic/Group Practice 5890270755 Receives reassigned benefits from 1 practitioner
Practice locations: Covington, LA
O20260406002966 AZ Part B Supplier - Clinic/Group Practice 5890270755 Receives reassigned benefits from 1 practitioner
Practice locations: Chandler, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1740147131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15088",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850605088",
            "telephone_number": "985-271-8990",
            "fax_number": "985-271-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71207 HIGHWAY 21",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337121",
            "telephone_number": "985-271-8990",
            "fax_number": "985-271-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTATE CANCER INSTITUTE OF LOUISIANA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "BHATNAGAR",
        "authorized_official_first_name": "AJAY",
        "authorized_official_title_or_position": "OWNER AND PHYSICIAN",
        "authorized_official_telephone_number": "985-271-8990",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "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 Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.