Individual provider Active NPI

Demetrius James Porche, RN, APRN

  • Family Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1003254616
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP02104 Issued in LA
Practice address
1900 Gravier St
New Orleans, LA 70112-2262
Phone
(504) 568-4106
NPI assigned
Jun 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP02104 LA Primary

Addresses

Primary practice location

1900 Gravier St
New Orleans, LA 70112-2262

Mailing address

931 Independence St
New Orleans, LA 70117-5737
Phone (504) 948-0470

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131019000150 LA Practitioner - Nurse Practitioner 4284869694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.21 of 100Reported as group
Quality
81.06
Promoting interoperability
100
Improvement activities
40
Cost
71.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Aug 27, 2013 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Aug 27, 2013 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G Current Accepting new patients

Locations

2025 Gravier St
Fl 6
New Orleans, LA 70112

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

1900 Gravier St
New Orleans, LA 70112
Phone (504) 568-4106

478 S Johnson St
Fl 5
New Orleans, LA 70112

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1003254616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 INDEPENDENCE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701175737",
            "telephone_number": "504-948-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GRAVIER ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122262",
            "telephone_number": "504-568-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORCHE",
        "first_name": "DEMETRIUS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "RN, APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP02104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.