Active NPI
Damodar Reddy Kumbala, M.D.
- Nephrology Physician
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD.202414
- Practice address
- 5131 Odonovan Dr Ste 100
Baton Rouge, LA 70808-4791 - Phone
- (225) 767-4893
- Fax
- (225) 767-5494
- NPI assigned
- Oct 17, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD.202414 | LA | Primary |
| Hospitalist Physician | 208M00000X | MD.202414 | LA |
Addresses
Primary practice location
5131 Odonovan Dr Ste 100
Baton Rouge, LA 70808-4791
Mailing address
5131 Odonovan Dr Ste 100
Baton Rouge, LA 70808-4791
Phone (225) 767-4893
Other practice location 1
505 E Airport Ave
Baton Rouge, LA 70806-6515
Phone (225) 769-2572
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04138518 | Medicaid | MS | |
| 1316598 | 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
- Nephrology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000
505 E Airport Ave
Baton Rouge, LA 70806-6515
Phone (225) 769-2572
5131 Odonovan Dr
FL 1
Baton Rouge, LA 70808-4791
Phone (225) 767-4893
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.202414 | LA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Internal Medicine | Current | Accepting new patients |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Belle Chasse Physician Services LLC | Hospitalist | Current | Accepting new patients |
| Baton Rouge Vascular Access LLC | Current | Accepting new patients | |
| Renal Associates of Baton Rouge, LLC | Nephrology | Current | Accepting new patients |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Baton Rouge Vascular Access ASC LLC | Past | Accepting new patients | |
| Nephrology Management LLC | Nephrology | Past | Accepting new patients |
| Hospitalist Medicine Physicians of Butler County, LTD | Internal Medicine | Past | Accepting new patients |
| Lsuhn Billing LLC | Past | Accepting new patients |
Locations
5131 Odonovan Dr
Fl 1
Baton Rouge, LA 70808
Phone (225) 767-4893
5131 Odonovan Dr
Fl First
Baton Rouge, LA 70808
Phone (225) 767-4893
16777 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 754-3278
5131 Odonovan Dr
#1
Baton Rouge, LA 70808
505 E Airport Ave
Baton Rouge, LA 70806
Phone (225) 201-0950
505 E Airport Ave
Ste B
Baton Rouge, LA 70806
10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239
5131 Odonovan Dr
Ste 100
Baton Rouge, LA 70808
Phone (225) 767-4893
2647 S Saint Elizabeth Blvd
Ste 311
Gonzales, LA 70737
Phone (225) 743-2833
16045 Doctors Blvd
Hammond, LA 70403
Phone (985) 542-1317
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131
2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157
5000 Odonavan Blvd
Ste 412
Walker, LA 70785
Phone (225) 767-7200
1215 Independence Blvd
Ste 9A
Zachary, LA 70791
4242 Highway 19
Ste C
Zachary, LA 70791
Phone (225) 286-8100
Interoperability endpoints
- damodar.kumbala.p110@direct.aac.nextgenshare.com
- dkumbala14246@direct.acumenmd.com
- dkumbala12031@direct.ochsner.org
Organizations & group practices 10
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.
-
- Vascular & Interventional Radiology Physician
- Baton Rouge, LA
- NPI 1669753893
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Hospitalist Physician
- Terrytown, LA
- NPI 1245653237
-
- General Practice Physician
- Zachary, LA
- NPI 1093106452
-
- Ambulatory Surgical Clinic/Center
- Baton Rouge, LA
- NPI 1023542339
-
- Multi-Specialty Clinic/Center
- Lafayette, LA
- NPI 1992975775
-
- Nephrology Physician
- Baton Rouge, LA
- NPI 1558815720
-
- Internal Medicine Physician
- Franklin, OH
- NPI 1477592319
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Family Medicine Physician
- Baton Rouge, LA
- NPI 1184648651
Hospital
-
- Neurological Surgery Physician
- Baton Rouge, LA
- NPI 1285887844
Hospital
-
- Gastroenterology Physician
- Baton Rouge, LA
- NPI 1407346984
Hospital
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1962537407
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1053360651
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1366436123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1922188390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5131 ODONOVAN DR STE 100",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084791",
"telephone_number": "225-767-4893",
"fax_number": "225-767-5494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5131 ODONOVAN DR STE 100",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084791",
"telephone_number": "225-767-4893",
"fax_number": "225-767-5494"
}
],
"practiceLocations": [
{
"address_1": "505 E Airport Ave",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708066515",
"country_code": "US",
"telephone_number": "225-769-2572",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUMBALA",
"first_name": "DAMODAR",
"middle_name": "REDDY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "LA",
"license": "MD.202414",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "LA",
"license": "MD.202414",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04138518",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316598",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.