Active NPI
Sarat K Donepudi, MD
- Surgery Physician
- Vacherie, LA
National Provider Identifier
1962464297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 04724R
- Practice address
- 21420 Highway 20
Vacherie, LA 70090-3614 - Phone
- (225) 265-3013
- Fax
- (225) 265-3775
- NPI assigned
- Apr 3, 2006
- Last updated
- Aug 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 04724R | LA | Primary |
| General Practice Physician | 208D00000X | 4727R | LA |
Addresses
Primary practice location
21420 Highway 20
Vacherie, LA 70090-3614
Mailing address
PO Box 160
21420 Hwy 20W
Vacherie, LA 70090-0160
Phone (225) 265-3013
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1197530 | Medicaid | LA | |
| 5K296 | Other | OLD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04724R | LA | MD | Surgery Physician |
| 4727R | LA | MD | General Practice Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Vacherie, LA
- NPI 1417134735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217894400000",
"number": "1962464297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 160",
"address_2": "21420 HWY 20W",
"city": "VACHERIE",
"state": "LA",
"postal_code": "700900160",
"telephone_number": "225-265-3013",
"fax_number": "225-265-3775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21420 HIGHWAY 20",
"city": "VACHERIE",
"state": "LA",
"postal_code": "700903614",
"telephone_number": "225-265-3013",
"fax_number": "225-265-3775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONEPUDI",
"first_name": "SARAT",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2008-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "04724R",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "LA",
"license": "4727R",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1197530",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OLD MEDICARE",
"identifier": "5K296",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vacherie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.