Active NPI
Klar Antonia Rovira IV, M.D.
- Diagnostic Radiology Physician
- Slidell, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 10064R
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00119940 | Medicaid | MS | |
| 1497797 | Medicaid | LA |
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
Enrollment records 1
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
Practice addresses (Care Compare)
1001 Gause Blvd
Slidell, LA 70458-2939
Phone (985) 646-5970
Hospital & facility affiliations
- Slidell Memorial Hospital
- Ochsner Medical Center Acute
- Ochsner Medical Center-Hancock
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10064R | LA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | 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 | Past | 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
- 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.
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Diagnostic Radiology Physician
- Slidell, LA
- NPI 1083662746
-
- Diagnostic Radiology Physician
- Alexandria, LA
- NPI 1033215710
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- General Practice Physician
- Harahan, LA
- NPI 1245774926
-
- Diagnostic Radiology Physician
- Covington, LA
- NPI 1336192863
-
- Diagnostic Radiology Physician
- Lake Charles, LA
- NPI 1629174339
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- General Acute Care Hospital
- Slidell, LA
- NPI 1578568481
-
- General Acute Care Hospital
- Bay Saint Louis, MS
- NPI 1588629968
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
- Round the Clock Personal Care Service LLC.
- Round the Clock Personal Care Service, LLC
- Round the Clock Personal Care Service, LLC
- Round the Clock Personal Care Service, LLC
- Loreal Roussell
- Thomas Rowan, CAC, PSS
- Rowland Duffour Clinic Inc PMC
- Sheryl Lynn Rowland, M.D.
- Royalty Home Care Service
- Royalty Transit LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.