Active NPI
Meghana Reddy Kasula, M.B.B.S.
- Student in an Organized Health Care Education/Training Program
- Baton Rouge, LA
National Provider Identifier
1962077537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- BRG Mid City Medicine Clinic
3401 North Boulevard, Suite 130
Baton Rouge, LA 70806 - Phone
- (225) 387-7900
- NPI assigned
- May 25, 2021
- Reactivated
- Nov 29, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
BRG Mid City Medicine Clinic
3401 North Boulevard, Suite 130
Baton Rouge, LA 70806
Mailing address
BRG Midcity Medicine Clinic
3401 North Boulevard Suite 130
Baton Rouge, LA 70806
Phone (225) 387-7900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1962077537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BRG MIDCITY MEDICINE CLINIC",
"address_2": "3401 NORTH BOULEVARD SUITE 130",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70806",
"telephone_number": "225-387-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BRG MID CITY MEDICINE CLINIC",
"address_2": "3401 NORTH BOULEVARD, SUITE 130",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70806",
"telephone_number": "225-387-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASULA",
"first_name": "MEGHANA",
"middle_name": "REDDY",
"credential": "M.B.B.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-25",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"deactivation_date": "2022-11-23",
"reactivation_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Nov 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.