Individual provider Active NPI

Ronald P Rabin, MD

  • Urology Physician
  • Metairie, LA
National Provider Identifier
1013909019
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD.010955 Issued in LA
Practice address
4224 Houma Blvd
Suite 600
Metairie, LA 70006-2933
Phone
(504) 454-0755
Fax
(504) 780-2558
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD.010955 LA Primary

Addresses

Primary practice location

4224 Houma Blvd
Suite 600
Metairie, LA 70006-2933

Mailing address

4224 Houma Blvd
Suite 600
Metairie, LA 70006-2933
Phone (504) 454-0755

Other identifiers 1

IdentifierTypeStateIssuer
1301523MedicaidLA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100614000479 LA Practitioner - Urology 0042340374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Louisiana State University School of Medicine in New Orleans, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ross Hogan MD LLCGroup PAC ID 4486875275, 5 clinicians

Practice addresses (Care Compare)

4228 Houma Blvd
Suite 310
Metairie, LA 70006-3008
Phone (504) 455-2800

Hospital & facility affiliations

  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.010955LAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ross Hogan M.D., LLC Urology CurrentSince Jul 1, 2019 Accepting new patients

Locations

110 Lakeview Dr
Ste 100
Covington, LA 70433
Phone (985) 892-4544

215 E Gibson St
Covington, LA 70433
Phone (985) 892-4544

4228 Houma Blvd
Ste 310
Metairie, LA 70006
Phone (504) 454-2222

4315 Houma Blvd
Ste 302
Metairie, LA 70006
Phone (504) 454-7800

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1013909019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 HOUMA BLVD",
            "address_2": "SUITE 600",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062933",
            "telephone_number": "504-454-0755",
            "fax_number": "504-780-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 HOUMA BLVD",
            "address_2": "SUITE 600",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062933",
            "telephone_number": "504-454-0755",
            "fax_number": "504-780-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABIN",
        "first_name": "RONALD",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "LA",
            "license": "MD.010955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1301523",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.