DR. PRATHIPA SANTHANAM M.D.
NPI 1609229947
Pediatrics - Pediatric Gastroenterology in Baton Rouge, LA
About Dr. Prathipa Santhanam M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRATHIPA SANTHANAM M.D. (NPI 1609229947) is an individual pediatric gastroenterology provider in Baton Rouge, Louisiana, licensed in Louisiana (332174) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chapel Hill.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Prathipa Santhanam M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Prathipa Santhanam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baton Rouge, LA 70808
- Reassigned Medicare billing, Louisiana enrollment
- 873 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70809 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BATON ROUGE, LA 70809
BATON ROUGE, LA 70809
BATON ROUGE, LA 70809
BATON ROUGE, LA 70809
BATON ROUGE, LA 70809
BATON ROUGE, LA 70809
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 Prathipa Santhanam's NPI number?
The NPI number for Prathipa Santhanam is 1609229947. It was assigned to this individual provider in the NPPES registry on July 21, 2016.
Where is Prathipa Santhanam located?
Prathipa Santhanam practices at 8200 Constantin Blvd Fl 4, Baton Rouge, LA 70809. The listed phone number is (225) 765-5500.
What is Prathipa Santhanam's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.
Is Prathipa Santhanam enrolled in Medicare?
Yes. Prathipa Santhanam is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Prathipa Santhanam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Prathipa Santhanam reassigns Medicare benefits to Our Lady Of The Lake Physician Group LLC (Baton Rouge, LA). The 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 Prathipa Santhanam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Prathipa Santhanam accept?
Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Prathipa Santhanam 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 Prathipa Santhanam was last updated on July 1, 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.
# Dr. Prathipa Santhanam, M.D. · NPI 1609229947
Pediatric Gastroenterology physician in Baton Rouge, Louisiana. Individual provider, active in the CMS NPPES registry since July 21, 2016.
## Identity
- **NPI:** 1609229947 (Entity type: Individual)
- **Enumerated:** July 21, 2016
- **Primary specialty:** Pediatrics - Pediatric Gastroenterology · taxonomy 2080P0206X
- **State license:** 332174 (Louisiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8200 CONSTANTIN BLVD FL 4, Baton Rouge, LA 70809-3481
- **Phone:** (225) 765-5500 · **Fax:** (225) 765-2054
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Our Lady Of The Lake Physician Group LLC (NPI 1033494943, Baton Rouge, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1609229947) · Data from the CMS NPPES public registry.