Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pavani Ellipeddi, MD

Individual provider Internal Medicine Physician · NPI 1194905737

Pavani Ellipeddi, MD is a Medical Oncology in Baton Rouge, Louisiana. Qualified in 2003, 23 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group and accepts Medicare assignment. Licensed in Alabama, Kansas and Louisiana.

Years since qualifying
23
Licensed in
AL, KS, LA
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7777 Hennessy Blvd Ste 6000
Baton Rouge, LA 70808-4366
Phone: (225) 757-0343
Fax: (225) 757-8354
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Oncology Physician (primary) Taxonomy 207RX0202X · Licence 305195 (LA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 04-35740 (KS)
Hospitalist Physician Taxonomy 208M00000X · Licence 30365 (AL)

Record details

NPI number1194905737
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 12, 2007
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMEDICAL ONCOLOGY
Also practisesHEMATOLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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