Active NPI
Supriya Rao Donthamsetty, D.O
- Anatomic Pathology & Clinical Pathology Physician
- Houma, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- DO.000314
- Practice address
- 1990 Industrial Blvd
Houma, LA 70363-7055 - Phone
- (985) 868-9300
- Fax
- (985) 851-0053
- NPI assigned
- Nov 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | DO000314 | LA | |
| General Practice Physician | 208D00000X | 1303 | SC | |
| General Practice Physician | 208D00000X | 061418 | GA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | DO.000314 | LA | Primary |
Addresses
Primary practice location
1990 Industrial Blvd
Houma, LA 70363-7055
Mailing address
1430 Tulane Ave
# 8679
New Orleans, LA 70112-2632
Phone (504) 988-5224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2300253 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO.000314 | LA | MD | Anatomic Pathology & Clinical Pathology Physician |
| DO000314 | LA | MD | Anatomic Pathology & Clinical Pathology Physician |
| 061418 | GA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | General Practice | Current | Accepting new patients |
| Ochsner Clinic LLC | General Practice | Current | Accepting new patients |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| University Medical Center Management Corporation | Current | Accepting new patients | |
| University Medical Center Management Corporation | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients |
Locations
17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470
1990 Industrial Blvd
Houma, LA 70363
Phone (985) 868-9300
180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284
1430 Tulane Ave
#8679
New Orleans, LA 70112
Phone (504) 988-2436
1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300
2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600
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.
-
- Specialist
- New Orleans, LA
- NPI 1528014164
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Family Medicine Physician
- New Orleans, LA
- NPI 1083655567
-
- Internal Medicine Physician
- Bay Saint Louis, MS
- NPI 1538674239
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- General Practice Physician
- Metairie, LA
- NPI 1215476015
-
- Psychiatric Hospital Unit
- New Orleans, LA
- NPI 1144261728
-
- Specialist
- Hattiesburg, MS
- NPI 1033395298
-
- Internal Medicine Physician
- Diamondhead, MS
- NPI 1316662059
-
- Internal Medicine Physician
- Picayune, MS
- NPI 1487253407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1922252576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 TULANE AVE",
"address_2": "# 8679",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122632",
"telephone_number": "504-988-5224",
"fax_number": "504-988-3969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1990 INDUSTRIAL BLVD",
"city": "HOUMA",
"state": "LA",
"postal_code": "703637055",
"telephone_number": "985-868-9300",
"fax_number": "985-851-0053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONTHAMSETTY",
"first_name": "SUPRIYA",
"middle_name": "RAO",
"name_prefix": "Dr.",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-10",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "LA",
"license": "DO000314",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "SC",
"license": "1303",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "061418",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "LA",
"license": "DO.000314",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2300253",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.