Princess Eronmwon Dennar, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

201896 Issued in LA

Practice address

1430 Tulane Ave
SL-16
New Orleans, LA 70112-2632

Phone

(504) 988-7518

Fax

(504) 988-8252

NPI assigned

Oct 16, 2006

Last updated

Feb 17, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Internal MedicineAlso: Emergency Medicine, Hospitalist, Pediatric Medicine

Education

Hahneman Medical College of the Pacific, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Premium Care Medical Center LLCGroup PAC ID 1951529791, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7881/brand/1/csg/1/fhir/r4
• Direct secure messaging: princess.dennar.1@7881.direct.athenahealth.com

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

• Premium Care Medical Center, LLC

  • Internal Medicine Physician
  • New Orleans, LA
  • NPI 1477995231
  Medicare reassignment Care Compare group Authorized official
• Administrators of the Tulane Educational Fund

  dba Tulane University Medical Group

  • Specialist
  • New Orleans, LA
  • NPI 1528014164
  Medicare reassignment NPD
• Independence Emergency Group LLC

  • Emergency Medicine Physician
  • Metairie, LA
  • NPI 1528384773
  Medicare reassignment NPD
• Administrators of the Tulane Educational Fund

  • Specialist
  • Hattiesburg, MS
  • NPI 1033395298
  NPD
• Lakeside Physician Associates, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • New Orleans, LA
  • NPI 1942391826
  NPD (past)
• The Administrators of the Tulane Educational Fund

  dba Affiliated Services Billing-HPL

  • Specialist
  • New Orleans, LA
  • NPI 1437365863
  NPD (past)

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

• West Jefferson Holdings, LLC

  dba West Jefferson Medical Center

  • General Acute Care Hospital
  • Marrero, LA
  • NPI 1265437644
  Care Compare affiliation

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1003906298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE",
            "address_2": "SL-16",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-7518",
            "fax_number": "504-988-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE",
            "address_2": "SL-16",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-7518",
            "fax_number": "504-988-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNAR",
        "first_name": "PRINCESS",
        "middle_name": "ERONMWON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "201896",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD201896",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104647",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jared Dendy, M.D.
• Dustin Philip Denicola, APRN-CNP
• Denise L Dorsey MD a Professional Medical Corporation (Denise Dorsey MD)
• Blake R Denley, MD
• Chukwunomnso Nwaka'Ibeya Dennar, M.D.
• Edwin William Dennard, M.D.
• Chrishonda Dennis-Walker, FNP-C
• Ariel Dennis, LSSP
• Janelle Dennis
• Kendal Dennis

• Internal Medicine Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.