| Tushar Pawar, MD | |
|
2400 Hospital Dr Ste 130, Bossier City, LA 71111-2386 | |
| (182) 127-9903 | |
| (318) 212-7995 |
| Full Name | Tushar Pawar |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 15 Years |
| Location | 2400 Hospital Dr Ste 130, Bossier City, 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 |
|---|---|---|---|
| 1457845380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MT215812 (Pennsylvania) | Secondary |
| 208M00000X | Hospitalist | 328336 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Primestar Home Health Of Nwla, Inc | Minden , LA | Home health agency |
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Minden Medical Center | Minden, LA | Hospital |
| Intensive Specialty Hospital, Llc | Shreveport, LA | Inpatient rehabilitation facility |
| Minden Medical Center | Minden, LA | Inpatient rehabilitation facility |
| Intensive Specialty Hospital | Shreveport, LA | Long-term care hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minden Physician Practices Llc | 4789720004 | 48 |
| Wk Bossier Hospitalists | 4486729639 | 23 |
| Entity Name | WK Bossier Hospitalists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487815866 PECOS PAC ID: 4486729639 Enrollment ID: O20080822000128 |
| Entity Name | Minden Physician Practices LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497986764 PECOS PAC ID: 4789720004 Enrollment ID: O20090930000103 |
| Entity Name | Medivue LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588467070 PECOS PAC ID: 0446777122 Enrollment ID: O20250506002536 |
| Mailing Address | Practice Location Address |
|---|---|
| Tushar Pawar, MD 106 Vieux Carre, Bossier City, LA 71111-5489 Ph: (281) 928-3165 | Tushar Pawar, MD 2400 Hospital Dr Ste 130, Bossier City, LA 71111-2386 Ph: (182) 127-9903 |
Jaahnavi Konidala, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 2400 Hospital Dr Ste 130, Bossier City, LA 71111 Phone: 318-212-7990 Fax: 318-212-7995 |