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DR. ASHISH UDHRAIN M.D.
NPI 1013980853
Internal Medicine - Hematology & Oncology in Metairie, LA

Active since February 10, 2006PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
4204 HOUMA BLVD, FL 2, METAIRIE, LA 70006(504) 883-2968(504) 883-2973 Get Directions Write a Review

NPPES record last updated: January 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ashish Udhrain M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ASHISH UDHRAIN M.D. (NPI 1013980853) is an individual hematology & oncology provider in Metairie, Louisiana, licensed in Louisiana (202708) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Thibodaux Regional Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1013980853
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. ASHISH UDHRAINCredential: M.D.
Location Address4204 HOUMA BLVD, FL 2Metairie, LA 70006-2903
Mailing Address4204 Houma Blvd, Fl 2Metairie, LA 70006-2903 · (504) 883-2968 · Fax (504) 883-2973
Phone(504) 883-2968
Fax(504) 883-2973
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 10, 2006
Last NPPES UpdateJanuary 5, 2017
✔ NPI 1013980853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in LA · 202708
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD.202708 (LA), 37330 (AZ)
4204 HOUMA BLVD, Metairie, LA 70006
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Other Identifiers 5

Medicare PIN385431YT3RLA
Medicare PIN4P194LA
Medicaid1067822LA
Medicare PINZ117430AZ
Medicaid252480AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ashish Udhrain M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668566779
PECOS Enrollment IDI20100816000996
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
811 services204 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
409 services103 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
50 services50 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
42 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thibodaux Regional Medical Center

Acute Care Hospitals · Thibodaux, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190004
Location602 N Acadia RoadThibodaux, LA 70301 · Lafourche County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70006 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$170.30 typical visit price
range $55.50 – $170.30
Typical copayment $42.57 (range $13.87 – $42.57)
Most-billed visit code 99205
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.77
Promoting Interoperability100
Improvement Activities40
Cost59.05

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
74%133 patients4/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
96%221 patients4/55-star benchmark: 100%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
52%102 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
15%220 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
82%2,130 patients3/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
100%844 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%245 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 90% · 317 patients
Patients tobacco: 89% · 317 patients
83%35 patients4/55-star benchmark: 98%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 6% · 199 patients
7%199 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BREAST DIAGNOSTICS, LLC
Clinic/Center (Radiology, Mammography)
4204 HOUMA BLVD
METAIRIE, LA 70006
Jefferson Parish (504) 883-8995
EAST JEFFERSON RADIATION ONCOLOGY, LLC
Radiology (Radiation Oncology)
4204 HOUMA BLVD
METAIRIE, LA 70006
Jefferson Parish (504) 454-1724
PAUL D MONSOUR M.D.
Radiology (Radiation Oncology)
4204 HOUMA BLVD, SUITE 211
METAIRIE, LA 70006
Jefferson Parish (504) 454-1727
MRS. APRIL MINNICH HAYDEL NURSE PRACTITIONER
Nurse Practitioner (Family)
4204 HOUMA BLVD, FL 2
METAIRIE, LA 70006
Jefferson Parish (504) 883-2968
KRISTEN LIMBACH M.D.
Surgery
4204 HOUMA BLVD
METAIRIE, LA 70006
Jefferson Parish (504) 503-5426
VICTORIA MILLER LABRUZZO
Nurse Practitioner
4204 HOUMA BLVD, FL 2
METAIRIE, LA 70006
Jefferson Parish (504) 883-2968
DR. MARY A HOBBS MALUCCIO MD, MPH
Surgery (Surgical Oncology)
4204 HOUMA BLVD
METAIRIE, LA 70006
Jefferson Parish (504) 503-5426
MS. KAYLA ANN CHACON PA-C
Physician Assistant
4204 HOUMA BLVD
METAIRIE, LA 70006
Jefferson Parish (504) 883-2968

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashish Udhrain's NPI number?

The NPI number for Ashish Udhrain is 1013980853. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Ashish Udhrain located?

Ashish Udhrain practices at 4204 Houma Blvd Fl 2, Metairie, LA 70006. The listed phone number is (504) 883-2968.

What is Ashish Udhrain's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Ashish Udhrain enrolled in Medicare?

Yes. Ashish Udhrain is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ashish Udhrain accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Ashish Udhrain as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ashish Udhrain affiliated with any hospitals?

According to CMS data, Ashish Udhrain is affiliated with Thibodaux Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Ashish Udhrain was last updated on January 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.