Organization Active NPI

Metabolic Center of Louisiana

  • Endocrinology, Diabetes & Metabolism Physician
  • Baton Rouge, LA
National Provider Identifier
1962451815
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD.07843R Issued in LA
Legal business name
METABOLIC CENTER OF LOUISIANA
Practice address
5238 Dijon Dr
Baton Rouge, LA 70808-4311
Phone
(225) 763-9050
Fax
(225) 763-9335
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rajat Bhushan, MD
Title
Physician/Owner
Phone
(225) 761-7878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X MD.07843R LA Primary

Addresses

Primary practice location

5238 Dijon Dr
Baton Rouge, LA 70808-4311

Mailing address

7777 Hennessy Blvd
Ste 1004-177
Baton Rouge, LA 70808-4300
Phone (225) 763-9050

Other identifiers 1

IdentifierTypeStateIssuer
1385956MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962451815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "STE 1004-177",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-763-9050",
            "fax_number": "225-763-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5238 DIJON DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084311",
            "telephone_number": "225-763-9050",
            "fax_number": "225-763-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METABOLIC CENTER OF LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BHUSHAN",
        "authorized_official_first_name": "RAJAT",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "225-761-7878",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "LA",
            "license": "MD.07843R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1385956",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.