Individual provider Active NPI

Rajat Bhushan

  • Specialist
  • Baton Rouge, LA
National Provider Identifier
1881709657
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD.07843R Issued in LA
Practice address
9808 Bluebonnet Blvd
Ste 200
Baton Rouge, LA 70810-6442
Phone
(225) 763-9050
Fax
(866) 777-2309
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20180605000335 LA Order and Referring Only - EndocrinologyPractitioner - Endocrinology 9638142458

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.07843RLAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Hospital Inc Past Accepting new patients
Our Lake of the Lake Hospital Inc Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD.07843R LA Primary

Addresses

NPPES NPI Registry

Primary practice location

9808 Bluebonnet Blvd
Ste 200
Baton Rouge, LA 70810-6442

Mailing address

9808 Bluebonnet Blvd
Ste 200
Baton Rouge, LA 70810-6442
Phone (225) 763-9050

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1385956MedicaidLA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 14, 2019.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1881709657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 BLUEBONNET BLVD",
            "address_2": "STE 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708106442",
            "telephone_number": "225-763-9050",
            "fax_number": "225-763-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 BLUEBONNET BLVD",
            "address_2": "STE 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708106442",
            "telephone_number": "225-763-9050",
            "fax_number": "866-777-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHUSHAN",
        "first_name": "RAJAT",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD.07843R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1385956",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.