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DR. PREM KUMAR MENON M. D.
NPI 1033114384
Specialist in Baton Rouge, LA

Active since June 14, 2005PECOS EnrolledAccepts Medicare Assignment
5217 FLANDERS DR, BATON ROUGE, LA 70808(225) 766-6931(225) 766-9413 Get Directions Write a Review

NPPES record last updated: August 23, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Prem Kumar Menon M. D. NPPES

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

DR. PREM KUMAR MENON M. D. (NPI 1033114384) is an individual specialist in Baton Rouge, Louisiana, licensed in Louisiana (07041R) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center - Baton Rouge, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1033114384
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. PREM KUMAR MENONCredential: M. D.
Location Address5217 FLANDERS DRBaton Rouge, LA 70808-9169
Mailing Address5217 Flanders DrBaton Rouge, LA 70808-9169 · (225) 766-6931 · Fax (225) 766-9413
Phone(225) 766-6931
Fax(225) 766-9413
Sole ProprietorYes
Medical School CMSOtherGraduated 1975
Enumeration DateJune 14, 2005
Last NPPES UpdateAugust 23, 2010
✔ NPI 1033114384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in LA · 07041R
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5217 FLANDERS DR, Baton Rouge, LA 70808
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Other Identifiers 3

Medicare ID-Type Unspecified5N115LA · Medicare Provider
Medicaid1904953LA
Medicare UPINE46095LA

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. Prem Kumar Menon 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 ID2567643554
PECOS Enrollment IDI20110228000106
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 4

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.
114 services69 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.
45 services31 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.
25 services12 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
24 services22 patients

Hospital Affiliations CMS Care Compare

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

Ochsner Medical Center - Baton Rouge

Acute Care Hospitals · Baton Rouge, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190202
Location17000 Medical Center DrBaton Rouge, LA 70816 · E. Baton Rouge County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers25 claims61 services$18.43 avg. paid by Medicare
Injection, immune globulin (cuvitru), 100 mg J1555
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier12 claims5,760 services$11.73 avg. paid by Medicare
Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg J1557
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier12 claims960 services$39.50 avg. paid by Medicare
Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg J1569
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers12 claims1,080 services$35.63 avg. paid by Medicare
Injection, immune globulin/hyaluronidase, (hyqvia), 100 mg immuneglobulin J1575
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier13 claims7,150 services$12.32 avg. paid by Medicare
Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg J1599
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers30 claims2,390 services$54.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

DR. VIMLA MENON M. D.
Specialist
5217 FLANDERS DR, BATON ROUGE
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 766-6931
PREM MENON MD A MEDICAL CORPORATION
Specialist
5217 FLANDERS DR
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 766-6931

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 Prem Menon's NPI number?

The NPI number for Prem Menon is 1033114384. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is Prem Menon located?

Prem Menon practices at 5217 Flanders Dr, Baton Rouge, LA 70808. The listed phone number is (225) 766-6931.

What is Prem Menon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Prem Menon enrolled in Medicare?

Yes. Prem Menon 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 Prem Menon accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Prem Menon 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 Prem Menon affiliated with any hospitals?

According to CMS data, Prem Menon is affiliated with Ochsner Medical Center - Baton Rouge.

When was this NPI record last updated?

The NPPES record for Prem Menon was last updated on August 23, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.