Individual provider Active NPI

Siva Sankar Yadlapati, MD

  • Hematology & Oncology Physician
  • Baton Rouge, LA
National Provider Identifier
1871583567
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
12739R Issued in LA
Practice address
7777 Hennessy Blvd Ste 6000
Baton Rouge, LA 70808-4366
Phone
(225) 757-0343
Fax
(225) 757-8354
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 12739R LA Primary

Addresses

Primary practice location

7777 Hennessy Blvd Ste 6000
Baton Rouge, LA 70808-4366

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 757-0343

Other practice location 1

4950 Essen Ln
Suite 300
Baton Rouge, LA 70809-3738
Phone (225) 757-0343

Other identifiers 1

IdentifierTypeStateIssuer
1539511MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address syadlapati16006@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

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
I20100922000277 LA Practitioner - Hematology/OncologyPractitioner - Medical Oncology 4587764204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Medical Oncology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Our Lady of the Lake Physician Group LLCGroup PAC ID 4587849781, 637 clinicians

Practice addresses (Care Compare)

4950 Essen LN
Suite 400
Baton Rouge, LA 70809-3738
Phone (225) 765-1765

Hospital & facility affiliations

  • Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC CurrentSince Jun 21, 2017 Accepting new patients
Our Lady of the Lake Physician Group, LLC CurrentSince Jun 21, 2017 Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish Current Accepting new patients
Our Lady of the Lake Physician Group LLC Current Accepting new patients

Locations

5439 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-2280

2051 Silverside Dr
Ste 260
Baton Rouge, LA 70808
Phone (225) 490-6301

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

8119 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 765-3076

4950 Essen Ln
Ste 400
Baton Rouge, LA 70809
Phone (225) 765-1765

7777 Hennessy Blvd
Ste 6000
Baton Rouge, LA 70808
Phone (225) 765-8648

4950 Essen Ln
Ste 500
Baton Rouge, LA 70809
Phone (225) 765-8823

2647 S Saint Elizabeth Blvd
Ste 312
Gonzales, LA 70737

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

2335 Church St
Ste E
Zachary, LA 70791
Phone (225) 570-2489

6180 Main St
Ste B
Zachary, LA 70791
Phone (225) 381-6550

Interoperability endpoints

  • Direct secure messaging: syadlapati16006@direct.casso.us.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1871583567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-757-0343",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD STE 6000",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084366",
            "telephone_number": "225-757-0343",
            "fax_number": "225-757-8354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4950 Essen Ln",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708093738",
            "country_code": "US",
            "telephone_number": "225-757-0343",
            "fax_number": "225-757-8354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YADLAPATI",
        "first_name": "SIVA",
        "middle_name": "SANKAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "LA",
            "license": "12739R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1539511",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "syadlapati16006@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "syadlapati16006@direct.casso.us.com",
            "address_1": "4950 Essen Ln",
            "address_2": "Suite 300",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708093738",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4950 Essen Ln",
            "address_2": "Suite 300",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708093738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.