| Shivakanth Burugu, MD | |
|
224 N Lewis St, New Iberia, LA 70563-2841 | |
| (337) 560-1144 | |
| (337) 560-1102 |
| Full Name | Shivakanth Burugu |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 18 Years |
| Location | 224 N Lewis St, New Iberia, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023334828 | NPI | - | NPPES |
| 2516825 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | MD37848 (South Carolina) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 321121 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmcna - New Iberia | New iberia, LA | Dialysis facility |
| Fmcna - Franklin | Franklin, LA | Dialysis facility |
| Iberia Medical Center | New iberia, LA | Hospital |
| Lafayette General Medical Center | Lafayette, LA | Hospital |
| Our Lady Of Lourdes Regional Medical Center, Inc | Lafayette, LA | Hospital |
| Franklin Foundation Hospital | Franklin, LA | Hospital |
| St Martin Hospital | Breaux bridge, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Acadiana Renal Physicians Amc | 5890783070 | 17 |
| Entity Name | Acadiana Renal Physicians Amc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992747349 PECOS PAC ID: 5890783070 Enrollment ID: O20040505000949 |
| Entity Name | Gulf Coast Nephrology, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982340774 PECOS PAC ID: 1052787959 Enrollment ID: O20221018001907 |
| Mailing Address | Practice Location Address |
|---|---|
| Shivakanth Burugu, MD 300 W Saint Mary Blvd, Lafayette, LA 70506-4638 Ph: (337) 233-6593 | Shivakanth Burugu, MD 224 N Lewis St, New Iberia, LA 70563-2841 Ph: (337) 560-1144 |
Vineeth Reddy Kandala, M.D. Nephrology Medicare: May Accept Medicare Assignments Practice Location: 2315 E Main St, New Iberia, LA 70560 Phone: 225-763-4764 | |
Mr. Matthew Earles Dauterive, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2309 E Main St Ste 500, New Iberia, LA 70560 Phone: 337-374-7315 Fax: 337-374-7313 | |
Kimberly R Smith, M.D., Nephrology Medicare: May Accept Medicare Assignments Practice Location: 520 N Lewis St, Suite 100, New Iberia, LA 70563 Phone: 337-367-8220 Fax: 337-367-8108 | |
Robert S Lewis, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2308 E Main St Ste F, New Iberia, LA 70560 Phone: 337-364-8890 Fax: 337-364-8552 | |
Dr. Vina S Baker, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 602 N Lewis Ave., Suite 100, New Iberia, LA 70563 Phone: 337-364-2822 Fax: 337-364-1978 | |
Dr. Carl M Ditch, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2316 E. Main St., New Iberia, LA 70560 Phone: 337-364-1103 Fax: 337-364-1194 |