Individual provider Active NPI

Diana Sharon Badkoobeh, M.D.

  • Obstetrics & Gynecology Physician
  • Baton Rouge, LA
National Provider Identifier
1962865972
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD61156996 Issued in WA
Practice address
500 Rue de la Vie St
Suite 413
Baton Rouge, LA 70817-5127
Phone
(225) 215-7442
NPI assigned
Mar 29, 2016
Sex
Female
Sole proprietor
No

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

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD61156996 WA Primary
Student in an Organized Health Care Education/Training Program 390200000X LA

Addresses

NPPES NPI Registry

Primary practice location

500 Rue de la Vie St
Suite 413
Baton Rouge, LA 70817-5127

Mailing address

1135 Briarridge Dr
Baton Rouge, LA 70810-5204
Phone (225) 485-5455

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 30, 2021.

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1962865972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 BRIARRIDGE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708105204",
            "telephone_number": "225-485-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RUE DE LA VIE ST",
            "address_2": "SUITE 413",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175127",
            "telephone_number": "225-215-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADKOOBEH",
        "first_name": "DIANA",
        "middle_name": "SHARON",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-29",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD61156996",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 30, 2021; 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.