Individual provider Active NPI

Sarat K Donepudi, MD

  • Surgery Physician
  • Vacherie, LA
National Provider Identifier
1962464297
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
04724R Issued in LA
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1197530MedicaidLA
5K296OtherOLD 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

LicenseStateTypeSpecialty
04724RLAMDSurgery Physician
4727RLAMDGeneral 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.

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.

Verify at the official NPI Registry.