Individual provider Active NPI

Radha Mayuri Garikepati, M.D.

  • Internal Medicine Physician
  • Plainsboro, NJ
National Provider Identifier
1801282959
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
310704 Issued in LA
Practice address
4203 Ravens Crest Dr
Plainsboro, NJ 08536-1803
Phone
(786) 252-1541
NPI assigned
Apr 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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
Internal Medicine Physician 207R00000X 310704 LA Primary

Addresses

Primary practice location

4203 Ravens Crest Dr
Plainsboro, NJ 08536-1803

Mailing address

4203 Ravens Crest Dr
Plainsboro, NJ 08536-1803
Phone (786) 252-1541

Other practice location 1

2400 Hospital Dr Ste 130
Bossier City, LA 71111-2386
Phone (318) 212-7990

Other identifiers 1

IdentifierTypeStateIssuer
2389688MedicaidLA

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
I20190904000464 LA Practitioner - Internal MedicinePractitioner - Hospitalist 2365731577 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coolidge Physician Services LLCGroup PAC ID 7113156035, 52 clinicians
Thibodaux Regional Network Development CorporationGroup PAC ID 8224011754, 138 clinicians

Practice addresses (Care Compare)

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991

602 N Acadia Rd
Hospitalists Dept
Thibodaux, LA 70301-4847
Phone (985) 493-4544

Hospital & facility affiliations

  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
  • Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004
  • Ochsner St Martin Hospital Hospital, Breaux Bridge, LA, CCN 191302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
310704LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana State University School of Medicine in New Orleans Faculty G Current Accepting new patients
St. Bernard Physician Services, LLC CurrentSince Oct 25, 2019 Accepting new patients
Thibodaux Regional Network Development Corporation Internal Medicine CurrentSince Jul 30, 2024 Accepting new patients
Belle Chasse Physician Services LLC CurrentSince Dec 19, 2022 Accepting new patients
Thibodaux Regional Network Development Corporation Current Accepting new patients
Coolidge Physician Services LLC CurrentSince Feb 26, 2025 Accepting new patients
Ochsner Clinic LLC Internal Medicine CurrentSince Mar 13, 2023 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jan 15, 2020 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jan 15, 2020 Accepting new patients
Thibodaux Regional Network Development Corporation CurrentSince Jul 30, 2024 Accepting new patients
Ochsner Clinic LLC Internal Medicine CurrentSince Mar 13, 2023 Accepting new patients
Lafayette General Medical Center Inc Past Accepting new patients
Ochsner Medical Center - Kenner, L.L.C. Past Accepting new patients

Locations

10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239

8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650

1514 Jefferson Hwy
New Orleans, LA 70121

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1801282959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 RAVENS CREST DR",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361803",
            "telephone_number": "786-252-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 RAVENS CREST DR",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085361803",
            "telephone_number": "786-252-1541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Hospital Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711112386",
            "country_code": "US",
            "telephone_number": "318-212-7990",
            "fax_number": "318-212-7995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARIKEPATI",
        "first_name": "RADHA",
        "middle_name": "MAYURI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "310704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2389688",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainsboro, NJ

Sources for this page

Verify at the official NPI Registry.