NORTHLAKE CARDIOLOGY AND WELLCARE CENTER
NPI 1396461653
Internal Medicine - Cardiovascular Disease in Mandeville, LA

Active since October 18, 2022
804 HEAVENS DR, MANDEVILLE, LA 70471(985) 807-1133 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Northlake Cardiology And Wellcare Center NPPES

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

NORTHLAKE CARDIOLOGY AND WELLCARE CENTER (NPI 1396461653) is a healthcare organization registered as a cardiovascular disease in Mandeville, Louisiana and active in the NPI registry since October 2022. The organization lists Prashanthi Atluri, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1396461653
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameNORTHLAKE CARDIOLOGY AND WELLCARE CENTER
Location Address804 HEAVENS DRMandeville, LA 70471-2890
Mailing Address804 Heavens DrMandeville, LA 70471-2890 · (985) 807-1133
Organization SubpartNo
Authorized OfficialPrashanthi AtluriMedical Doctor · (504) 451-5934
Enumeration DateOctober 18, 2022
NPPES CertifiedOctober 18, 2022
✔ NPI 1396461653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
804 HEAVENS DR, Mandeville, LA 70471

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northlake Cardiology And Wellcare Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Northlake Cardiology And Wellcare Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Cardiovascular Disease (Cardiology)
NPI 1396934964
8195 CUSTER RD STE 110
Frisco, TX 75035
(214) 666-6259
✔ PECOS✔ Accepts Medicare433 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Northlake Cardiology And Wellcare Center's NPI number?

The NPI number for Northlake Cardiology And Wellcare Center is 1396461653. It was assigned to this organization in the NPPES registry on October 18, 2022.

Where is Northlake Cardiology And Wellcare Center located?

Northlake Cardiology And Wellcare Center is located at 804 Heavens Dr, Mandeville, LA 70471. The listed phone number is (985) 807-1133.

What is Northlake Cardiology And Wellcare Center's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Northlake Cardiology And Wellcare Center enrolled in Medicare?

Yes. Northlake Cardiology And Wellcare Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northlake Cardiology And Wellcare Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Northlake Cardiology And Wellcare Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northlake Cardiology And Wellcare Center accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Northlake Cardiology And Wellcare Center 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 Northlake Cardiology And Wellcare Center was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.