Individual provider Active NPI

Janardana P. Kaimal, MD

  • Pulmonary Disease Physician
  • Lake Charles, LA
National Provider Identifier
1912989443
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
3828R Issued in LA
Practice address
4820 Lake St
Suite 2
Lake Charles, LA 70605-6010
Phone
(337) 310-7378
Fax
(337) 310-7382
NPI assigned
Nov 18, 2005
Last updated
Aug 6, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 3828R LA Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 3828R LA

Addresses

Primary practice location

4820 Lake St
Suite 2
Lake Charles, LA 70605-6010

Mailing address

4820 Lake St
Suite 2
Lake Charles, LA 70605-6010
Phone (337) 310-7378

Other identifiers 1

IdentifierTypeStateIssuer
1179329MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3828RLAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Disorder Center of Louisiana, LLC CurrentSince Nov 13, 2012 Accepting new patients

Locations

4820 Lake St
Lake Charles, LA 70605
Phone (337) 310-7378

4820 Lake St
Ste 2
Lake Charles, LA 70605
Phone (337) 310-7378

Interoperability endpoints

  • Direct secure messaging: janardanakaimal@sdcl.allscriptsdirect.net

Organizations & group practices 3

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1912989443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 LAKE ST",
            "address_2": "SUITE 2",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706056010",
            "telephone_number": "337-310-7378",
            "fax_number": "337-310-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 LAKE ST",
            "address_2": "SUITE 2",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706056010",
            "telephone_number": "337-310-7378",
            "fax_number": "337-310-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAIMAL",
        "first_name": "JANARDANA",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "3828R",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "LA",
            "license": "3828R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1179329",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.