Nicolas Vergara, M.D

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD.204964 Issued in LA

Practice address

1990 Industrial Blvd.
Houma, LA 70363-7055

Phone

(985) 868-9300

Fax

(985) 851-0053

NPI assigned

Feb 17, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deepblue Wellness LLCGroup PAC ID 5092078089, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Touro Infirmary Hospital, New Orleans, LA, CCN 190046

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Deepblue Wellness LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Metairie, LA
  • NPI 1518460211
  Medicare reassignment Care Compare group NPD Authorized official
• Oceans Rog LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Charles, LA
  • NPI 1922424357
  Medicare reassignment NPD
• Greenbrier Hospital, LLC

  • Psychiatric Hospital
  • Covington, LA
  • NPI 1659451664
  NPD (past)
• Oceans Behavioral Hospital of Greater New Orleans LLC

  • Psychiatric Hospital
  • Gretna, LA
  • NPI 1952561318
  NPD (past)
• Ochsner-Acadia, LLC

  • Psychiatric Hospital
  • La Place, LA
  • NPI 1962949958
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Touro Infirmary

  • Rehabilitation Hospital Unit
  • New Orleans, LA
  • NPI 1588817878
  Care Compare affiliation
• Touro Infirmary

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1821098286
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1003084625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 CANAL STREET",
            "address_2": "TB-53",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122272",
            "telephone_number": "504-988-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 INDUSTRIAL BLVD.",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703637055",
            "telephone_number": "985-868-9300",
            "fax_number": "985-851-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGARA",
        "first_name": "NICOLAS",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-17",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "MD.204964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1507814",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vein Center of the South
• Heather Verdin
• Leah Verdin
• Lindsey Verdin
• Travis Christopher Verdin II, BA
• Chassity Verret
• Heather Barnhill Verret
• Michelle Maronge Verret
• Reagan Bryanna Verret, MHS, PA-C
• Garrett Lane Vick

• Psychiatry Physician in Houma, LA
• Providers in Houma, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.