Individual provider Active NPI

Damodar Reddy Kumbala, M.D.

  • Nephrology Physician
  • Baton Rouge, LA
National Provider Identifier
1922188390
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD.202414 Issued in LA
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

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04138518MedicaidMS
1316598MedicaidLA

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
I20081202000481 LA Practitioner - NephrologyPractitioner - Neurology 8426159070 Reassigns benefits to 4 organizations

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
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians
Baton Rouge Vascular Access LLCGroup PAC ID 2769655075, 8 clinicians
Renal Associates of Baton Rouge, LLCGroup PAC ID 2567354046, 25 clinicians

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

LicenseStateTypeSpecialty
MD.202414LAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Internal Medicine CurrentSince Oct 1, 2008 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Belle Chasse Physician Services LLC Hospitalist CurrentSince Feb 17, 2014 Accepting new patients
Baton Rouge Vascular Access LLC CurrentSince Aug 1, 2018 Accepting new patients
Renal Associates of Baton Rouge, LLC Nephrology CurrentSince Dec 2, 2017 Accepting new patients
Ochsner Clinic LLC CurrentSince Oct 1, 2008 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

  • Direct secure messaging: damodar.kumbala.p110@direct.aac.nextgenshare.com
  • Direct secure messaging: dkumbala14246@direct.acumenmd.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.