Active NPI
Anil S.a. Danivas
- Pediatrics Physician
- Alexandria, LA
National Provider Identifier
1740283852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 11757R
- Practice address
- 501 Medical Center Drive Box 30140
Suite 100
Alexandria, LA 71301 - Phone
- (318) 443-5439
- Fax
- (318) 487-9584
- NPI assigned
- May 23, 2005
- Last updated
- Mar 19, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 11757R | LA | Primary |
Addresses
Primary practice location
501 Medical Center Drive Box 30140
Suite 100
Alexandria, LA 71301
Mailing address
5114 Mallard Drive
Alexandria, LA 71303
Phone (318) 473-9558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1682152 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11757R | LA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakdale Childrens Clinic | Pediatrics | Current | Accepting new patients |
| Hari Srinivasa | Current | Accepting new patients | |
| Rapides Healthcare System, L.L.C. | Past | Accepting new patients | |
| Cenla Children's Clinic & Associates | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Pineville Children's Clinic
- Specialist
- Alexandria, LA
- NPI 1871670752
-
dba Rapides Regional Medical Center
- General Acute Care Hospital
- Alexandria, LA
- NPI 1477500015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1740283852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5114 MALLARD DRIVE",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "71303",
"telephone_number": "318-473-9558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MEDICAL CENTER DRIVE BOX 30140",
"address_2": "SUITE 100",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "71301",
"telephone_number": "318-443-5439",
"fax_number": "318-487-9584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIVAS",
"first_name": "ANIL",
"middle_name": "S.A.",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "11757R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1682152",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.