Organization Active NPI

Janardana P. Kaimal, MD, LLC

  • Sleep Medicine (Internal Medicine) Physician
  • Lake Charles, LA
National Provider Identifier
1740323823
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
3828R Issued in LA
Legal business name
JANARDANA P. KAIMAL, MD, LLC
Practice address
4820 Lake St
Lake Charles, LA 70605-6010
Phone
(337) 310-7378
Fax
(337) 310-7382
NPI assigned
Feb 15, 2007
Last updated
Nov 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Authorized official

Name
Dr. Janardana Parameswara Kaimal, MDNPI 1912989443
Title
Owner
Phone
(337) 310-7278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0012X 3828R LA Primary

Addresses

Primary practice location

4820 Lake St
Lake Charles, LA 70605-6010

Mailing address

PO Box 4591
Lake Charles, LA 70606-4591
Phone (337) 436-7560

Other identifiers 1

IdentifierTypeStateIssuer
1179329MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080326000457 LA Part B Supplier - Clinic/Group Practice 3476639162 Receives reassigned benefits from 4 practitioners
Practice locations: Deridder, LA; Lafayette, LA; Lake Charles, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1740323823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4591",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706064591",
            "telephone_number": "337-436-7560",
            "fax_number": "337-433-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 LAKE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706056010",
            "telephone_number": "337-310-7378",
            "fax_number": "337-310-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANARDANA P. KAIMAL, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "KAIMAL",
        "authorized_official_first_name": "JANARDANA",
        "authorized_official_middle_name": "PARAMESWARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-310-7278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "LA",
            "license": "3828R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1179329",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.