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DR. SHANTIPRAKASH M KEDIA M.D.
NPI 1295738557
Internal Medicine - Gastroenterology in Marrero, LA

Active since May 31, 2005PECOS Enrolled
1111 MEDICAL CENTER BLVD, STE S450, MARRERO, LA 70072(504) 349-6401(504) 349-6444 Get Directions Write a Review

NPPES record last updated: November 14, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Shantiprakash M Kedia M.d. NPPES

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

DR. SHANTIPRAKASH M KEDIA M.D. (NPI 1295738557) is an individual gastroenterology provider in Marrero, Louisiana, licensed in Louisiana (05114R) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295738557
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SHANTIPRAKASH M KEDIACredential: M.D.
Location Address1111 MEDICAL CENTER BLVD, STE S450Marrero, LA 70072-3151
Mailing Address1111 Medical Center Blvd, Ste S450Marrero, LA 70072-3151 · (504) 349-6423 · Fax (504) 349-6062
Phone(504) 349-6401
Fax(504) 349-6444
Sole ProprietorNo
Enumeration DateMay 31, 2005
Last NPPES UpdateNovember 14, 2013
✔ NPI 1295738557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in LA · 05114R
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1111 MEDICAL CENTER BLVD, Marrero, LA 70072
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified1330230LA
Medicare ID-Type Unspecified52681
Medicare UPINB89548

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 (PECOS)

Dr. Shantiprakash M Kedia M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70072 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
76%1,133 patients4/55-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.
94%3,008 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%2,236 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%1,098 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
79%1,801 patients4/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
14%637 patients1/55-star benchmark: 90%
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…
25%1,787 patients2/55-star benchmark: 97%
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: 43% · 724 patients
Patients tobacco: 34% · 724 patients
7%70 patients1/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
97%1,801 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
14%1,801 patients1/55-star benchmark: 59%
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+: 1% · 637 patients
2%637 patients4/55-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 20

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

LABADIE AND LABADIE A PROFESSIONAL LLC
Specialist
1111 MEDICAL CENTER BLVD, SUITE 250 SOUTH
MARRERO, LA 70072
Jefferson Parish (504) 349-6207
THELMA SONZA N.P.
Nurse Practitioner (Family)
1111 MEDICAL CENTER BLVD, SUITE 613N
MARRERO, LA 70072
Jefferson Parish (504) 394-6800
DR. JOSEPH GUARNIERI M.D.
Ophthalmology
1111 MEDICAL CENTER BLVD, SUITE N-213
MARRERO, LA 70072
Jefferson Parish (504) 349-6213
CHARLES JOSEPH BALLAY II M.D.
Otolaryngology
1111 MEDICAL CENTER BLVD, SUITE 707N
MARRERO, LA 70072
Jefferson Parish (504) 934-8550
DR. PRAMELA R GANJI MD
Family Medicine
1111 MEDICAL CENTER BLVD, STE 304 NORTH
MARRERO, LA 70072
Jefferson Parish (504) 349-6325
WEST JEFFERSON PHYSICIAN SERVICES
Internal Medicine
1111 MEDICAL CENTER BLVD, SUITE S850
MARRERO, LA 70072
Jefferson Parish (504) 349-6450
MS. MEGHAN CATHERINE MESSONNIER PA-C
Physician Assistant (Medical)
1111 MEDICAL CENTER BLVD, SUITE S-450
MARRERO, LA 70072
Jefferson Parish (504) 349-6423
KAELYNN LANDECHE FRANCISCO APRN
Nurse Practitioner
1111 MEDICAL CENTER BLVD
MARRERO, LA 70072
Jefferson Parish (504) 349-6945

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 Shantiprakash Kedia's NPI number?

The NPI number for Shantiprakash Kedia is 1295738557. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Shantiprakash Kedia located?

Shantiprakash Kedia practices at 1111 Medical Center Blvd Ste S450, Marrero, LA 70072. The listed phone number is (504) 349-6401.

What is Shantiprakash Kedia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Shantiprakash Kedia enrolled in Medicare?

Yes. Shantiprakash Kedia is registered in the Medicare PECOS enrollment system.

What insurance does Shantiprakash Kedia accept?

Health plans from HMO Louisiana list Shantiprakash Kedia 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.

When was this NPI record last updated?

The NPPES record for Shantiprakash Kedia was last updated on November 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.