Individual provider Active NPI

Sudhir K Julka, MD

  • Nephrology Physician
  • Metairie, LA
National Provider Identifier
1750498499
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
10332R Issued in LA
Practice address
3939 Houma Blvd
Building 3 Suite 7
Metairie, LA 70006
Phone
(504) 373-5539
Fax
(504) 373-6151
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 10332R LA Primary

Addresses

Primary practice location

3939 Houma Blvd
Building 3 Suite 7
Metairie, LA 70006

Mailing address

3939 Houma Blvd
Building 3 Suite 7
Metairie, LA 70006
Phone (504) 373-5539

Other identifiers 1

IdentifierTypeStateIssuer
1986224MedicaidLA

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
I20110203000980 LA Practitioner - NephrologyPractitioner - Internal Medicine 3072600253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3939 Houma Blvd
BLDG 3
Metairie, LA 70006-2931
Phone (504) 373-5539

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000LAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Renal MD LLC CurrentSince Jun 18, 2003 Accepting new patients
Dva Healthcare Renal Care Inc Past Accepting new patients
Louisiana Cosmetic Surgery Center, L.L.C. PastSince Jul 1, 2003 Accepting new patients

Locations

1125 S Burnside Ave
Gonzales, LA 70737
Phone (225) 255-4070

210 E Spillman St
Gonzales, LA 70737
Phone (225) 647-1195

200 W Esplanade Ave
Ste 410
Kenner, LA 70065
Phone (504) 464-8619

3939 Houma Blvd
Ste 7
Metairie, LA 70006
Phone (504) 373-5539

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1750498499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 HOUMA BLVD",
            "address_2": "BUILDING 3 SUITE 7",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70006",
            "telephone_number": "504-373-5539",
            "fax_number": "504-373-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 HOUMA BLVD",
            "address_2": "BUILDING 3 SUITE 7",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70006",
            "telephone_number": "504-373-5539",
            "fax_number": "504-373-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULKA",
        "first_name": "SUDHIR",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "10332R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1986224",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.