Individual provider Active NPI

Madhuri Deepak Dixit, MD

  • Pediatrics Physician
  • Slidell, LA
National Provider Identifier
1912902867
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
10981R Issued in LA
Practice address
1340 14TH St
Slidell, LA 70458-2944
Phone
(985) 601-0410
Fax
(985) 649-8703
NPI assigned
Jun 16, 2005
Last updated
Nov 3, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 10981R LA Primary

Addresses

Primary practice location

1340 14TH St
Slidell, LA 70458-2944

Mailing address

843 Milling Ave
Luling, LA 70070-4442
Phone (985) 785-5852

Other identifiers 1

IdentifierTypeStateIssuer
1649937MedicaidLA

Other names 1

  • Madhuri Madhavrao Vaidya Former name

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
I20110224000420 LA Practitioner - Pediatric Medicine 0446431472 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10981RLAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Aug 16, 2021 Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 16, 2021 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Access Health Louisiana Pediatrics Past Accepting new patients
Slidell Memorial Hospital Past Accepting new patients
Gulf Coast Rheumatology PastSince Jul 14, 2011 Accepting new patients

Locations

8050 W Judge Perez Dr
Ste 1300
Chalmette, LA 70043
Phone (504) 281-2800

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

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

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

1001 Gause Blvd
#75
Slidell, LA 70458
Phone (985) 280-3609

1051 Gause Blvd
Ste 360
Slidell, LA 70458
Phone (504) 649-8775

1051 Gause Blvd
Ste 440
Slidell, LA 70458
Phone (985) 280-6770

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDBCBD
  • Direct secure messaging: madhuri.dixit.1@11331.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1912902867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 MILLING AVE",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704442",
            "telephone_number": "985-785-5852",
            "fax_number": "985-785-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 14TH ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582944",
            "telephone_number": "985-601-0410",
            "fax_number": "985-649-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXIT",
        "first_name": "MADHURI",
        "middle_name": "DEEPAK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "10981R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649937",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADHURI",
            "last_name": "VAIDYA",
            "middle_name": "MADHAVRAO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.