Individual provider Active NPI

Klar Antonia Rovira IV, M.D.

  • Diagnostic Radiology Physician
  • Slidell, LA
National Provider Identifier
1922075803
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
10064R Issued in LA
Practice address
1001 Gause Blvd
Slidell, LA 70458-2939
Phone
(985) 646-0691
Fax
(985) 646-0750
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 10064R LA Primary

Addresses

Primary practice location

1001 Gause Blvd
Slidell, LA 70458-2939

Mailing address

PO Box 2710
Slidell, LA 70459-2710
Phone (985) 646-0691

Other identifiers 2

IdentifierTypeStateIssuer
00119940MedicaidMS
1497797MedicaidLA

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
I20060920000446 LA Practitioner - Diagnostic Radiology 8921906876 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Louisiana State University School of Medicine in New Orleans, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

1001 Gause Blvd
Slidell, LA 70458-2939
Phone (985) 646-5970

Hospital & facility affiliations

  • Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
  • Ochsner Medical Center-Hancock Hospital, Bay Saint Louis, MS, CCN 250162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10064RLAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 21, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 21, 2024 Accepting new patients
Northlake Radiology Consultants, Apmc Diagnostic Radiology Current Accepting new patients
Regional Radiology, LLC Diagnostic Radiology Past Accepting new patients
Second Avenue MRI LLC Diagnostic Radiology PastSince Jul 19, 2014 Accepting new patients

Locations

10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

64030 Highway 434
Lacombe, LA 70445
Phone (985) 639-0202

1514 Jefferson Hwy
New Orleans, LA 70121

2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650

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

500 Pontchartrain Dr
#200
Slidell, LA 70458
Phone (504) 646-0691

1700 Lindberg Dr
Slidell, LA 70458
Phone (800) 598-7291

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

1495 Gause Blvd
Slidell, LA 70458
Phone (504) 643-5476

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

801 Goodyear Blvd
Picayune, MS 39466
Phone (601) 749-0688

130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400

Interoperability endpoints

  • Direct secure messaging: krovira413601@christushealth.direct-ci.net

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922075803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2710",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704592710",
            "telephone_number": "985-646-0691",
            "fax_number": "985-646-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 GAUSE BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582939",
            "telephone_number": "985-646-0691",
            "fax_number": "985-646-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROVIRA",
        "first_name": "KLAR",
        "middle_name": "ANTONIA",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "10064R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119940",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497797",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.