Raghotham Reddy Patlola, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

15607R Issued in LA

Practice address

4811 Ambassador Caffery Parkway
Suite 401a
Lafayette, LA 70508

Phone

(337) 456-6523

Fax

(337) 456-6521

NPI assigned

Jul 6, 2005

Last updated

May 11, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CLHG-Oakdale LLCGroup PAC ID 1355623943, 37 clinicians

Louisiana Cardiovascular Associates, LLCGroup PAC ID 3173908878, 3 clinicians

Hawkeye Medical, LLCGroup PAC ID 9032254685, 33 clinicians

CLHG-Avoyelles LLCGroup PAC ID 8921380528, shared by 9 NPIs, 39 clinicians

CLHG-Ville Platte LLCGroup PAC ID 4486903309, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oakdale Community Hospital Hospital, Oakdale, LA, CCN 190106
• Avoyelles Hospital Hospital, Marksville, LA, CCN 190099
• Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102
• Mercy Regional Medical Center Hospital, Ville Platte, LA, CCN 190167
• Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5868/brand/1/csg/1/fhir/r4
• Direct secure messaging: mrmrpatlo@yourcarecommunity.org
• Direct secure messaging: raghotham.patlola.1@16696.direct.athenahealth.com
• Direct secure messaging: raghotham.patlola.1@29237.direct.athenahealth.com
• Direct secure messaging: raghotham.patlola.1@30808.direct.athenahealth.com
• Direct secure messaging: raghotham.patlola.1@5868.direct.athenahealth.com
• Direct secure messaging: raghotham.patlola@4037.securemail.prognocis.com

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.

• CLHG-Oakdale LLC

  dba Oberlin Express Care

  • Rural Health Clinic/Center
  • Oberlin, LA
  • NPI 1063111920
  Medicare reassignment Care Compare group NPD
• CLHG-Ville Platte LLC

  dba Mercy Regional Medical Center

  • Anesthesiology Physician
  • Ville Platte, LA
  • NPI 1285811927
  Medicare reassignment Care Compare group NPD
• Hawkeye Medical, LLC

  • Hospitalist Physician
  • Marksville, LA
  • NPI 1952630360
  Medicare reassignment Care Compare group NPD
• Louisiana Cardiovascular Associates, LLC

  dba Louisiana Cardiovascular Associates

  • Cardiovascular Disease Physician
  • Lafayette, LA
  • NPI 1730823709
  Medicare reassignment Care Compare group NPD
• CLHG-Avoyelles LLC

  • General Acute Care Hospital
  • Marksville, LA
  • NPI 1639618853
  Medicare reassignment NPD
• Lafayette General Medical Center Inc.

  • Cardiovascular Disease Physician
  • Lafayette, LA
  • NPI 1649408832
  Medicare reassignment NPD
• Mercy Physician Practices LLC

  • Family Medicine Physician
  • Ville Platte, LA
  • NPI 1598885832
  Medicare reassignment NPD
• CLHG-Avoyelles LLC

  dba Cottonport Family Care Center

  • Family Medicine Physician
  • Cottonport, LA
  • NPI 1063211944
  NPD
• CLHG-Avoyelles LLC

  dba Hessmer Family Care Center

  • Rural Health Clinic/Center
  • Hessmer, LA
  • NPI 1538750039
  NPD
• CLHG-Oakdale LLC

  dba Family Medicine Associates of Oakdale

  • Rural Health Clinic/Center
  • Oakdale, LA
  • NPI 1356932859
  NPD
• CLHG-Ville Platte LLC

  dba St Landry Family Healthcare

  • Rural Health Clinic/Center
  • Washington, LA
  • NPI 1376911735
  NPD
• Lafayette General Medical Center Inc.

  dba Lafayette General Medical Center Retail Pharmacy

  • Community/Retail Pharmacy
  • Lafayette, LA
  • NPI 1023638715
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CLHG-Avoyelles, LLC

  dba Avoyelles Hospital

  • General Acute Care Hospital
  • Marksville, LA
  • NPI 1053358176
  Care Compare affiliation
• CLHG-Oakdale, LLC

  dba Oakdale Community Hospital

  • General Acute Care Hospital
  • Oakdale, LA
  • NPI 1104873710
  Care Compare affiliation
• CLHG-Ville Platte LLC

  dba Mercy Regional Medical Center

  • General Acute Care Hospital
  • Ville Platte, LA
  • NPI 1407947336
  Care Compare affiliation
• Lafayette General Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1275536799
  Care Compare affiliation
• Our Lady of Lourdes Regional Medical Center, Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1598766495
  Care Compare affiliation

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1821095860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "MILTON",
            "state": "LA",
            "postal_code": "70558",
            "telephone_number": "337-456-6523",
            "fax_number": "337-456-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 AMBASSADOR CAFFERY PARKWAY",
            "address_2": "SUITE 401A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-456-6523",
            "fax_number": "337-456-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATLOLA",
        "first_name": "RAGHOTHAM",
        "middle_name": "REDDY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "15607R",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "23173",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": "15607R",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MS",
            "license": "23173",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00158213",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1349844",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mona Patel
• Pathway ABA LLC
• Dru M. Patin, CRNA
• Mark R Patin, CRNA
• Nicholas Charles Patin, CRNA
• Patrick a Juneau, III, MD, Apmc
• Patrick J. Welch, M.D. (a Professional Medical Corporation)
• Patrick R Magee OD Apoc (Eye Health Plus)
• Brittney Raffial Patterson-Davis, FNP
• Haylea Patterson

• Interventional Cardiology Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Interventional Cardiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.