Active NPI
Anita Kanagala, MD PHD
- Family Medicine Physician
- Covington, LA
National Provider Identifier
1962493569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD.202626
- Practice address
- 130 Lakeview Cir
Covington, LA 70433-7512 - Phone
- (985) 892-6858
- Fax
- (985) 892-6965
- NPI assigned
- Nov 2, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 47113 | WI | |
| Family Medicine Physician | 207Q00000X | MD.202626 | LA | Primary |
Addresses
Primary practice location
130 Lakeview Cir
Covington, LA 70433-7512
Mailing address
130 Lakeview Cir
Covington, LA 70433-7512
Phone (985) 892-6858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1805742 | Medicaid | LA |
Other names 1
- Anita Nagabhyru
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
130 Lakeview Cir
Covington, LA 70433-7512
Phone (985) 892-6858
Hospital & facility affiliations
- Southeast Louisiana Home Health, LLC
- East Jefferson General Hospital
- St Tammany Parish Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47113 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Jefferson Physicians Group LLC | Current | Accepting new patients | |
| Metairie Physician Services Inc. | Past | Accepting new patients |
Locations
130 Lakeview Cir
Covington, LA 70433
Phone (985) 892-6858
4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415
4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- New Orleans, LA
- NPI 1922293372
-
- Internal Medicine Physician
- Metairie, LA
- NPI 1801233648
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Covington, LA
- NPI 1386610848
-
- Internal Medicine Physician
- Covington, LA
- NPI 1083793582
Hospital
-
- Pulmonary Disease Physician
- Covington, LA
- NPI 1285285874
Hospital
-
- General Acute Care Hospital
- Covington, LA
- NPI 1598798597
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1962493569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 LAKEVIEW CIR",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337512",
"telephone_number": "985-892-6858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 LAKEVIEW CIR",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337512",
"telephone_number": "985-892-6858",
"fax_number": "985-892-6965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANAGALA",
"first_name": "ANITA",
"name_prefix": "Dr.",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "47113",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "MD.202626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1805742",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANITA",
"last_name": "NAGABHYRU",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.