Individual provider Active NPI

Olle Kjellgren, M.D.

  • Cardiovascular Disease Physician
  • New Orleans, LA
National Provider Identifier
1033101159
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
11239R Issued in LA
Practice address
2633 Napoleon Ave
Suite 500
New Orleans, LA 70115-6357
Phone
(504) 897-9686
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 11239R LA Primary

Addresses

Primary practice location

2633 Napoleon Ave
Suite 500
New Orleans, LA 70115-6357

Mailing address

2633 Napoleon Ave
Suite 500
New Orleans, LA 70115-6357
Phone (504) 897-9686

Other identifiers 2

IdentifierTypeStateIssuer
03603593MedicaidMS
1665398MedicaidLA

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
I20100324000914 LA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4385786698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

10310 The Grove Blvd
Baton Rouge, LA 70836-6455
Phone (225) 761-5200

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000

1516 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3470

2820 Napoleon Ave
New Orleans, LA 70115-6969
Phone (504) 842-5300

71380 Hwy 21
Covington, LA 70433-7245
Phone (985) 661-3534

Hospital & facility affiliations

  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
  • St Bernard Parish Hospital Hospital, Chalmette, LA, CCN 190308
  • Touro Infirmary Hospital, New Orleans, LA, CCN 190046
  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • Ochsner Medical Center - Baton Rouge Hospital, Baton Rouge, LA, CCN 190202

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11239RLAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Sep 1, 2015 Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 1, 2015 Accepting new patients

Locations

2820 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-4960

2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650

2633 Napoleon Ave
Ste 500
New Orleans, LA 70115
Phone (504) 897-9686

1514 Jefferson Hwy
New Orleans, LA 70121

2700 Napoleon Ave
#C
New Orleans, LA 70115

Interoperability endpoints

  • Direct secure messaging: okjellgren25939@direct.ochsner.org

Organizations & group practices 2

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 9

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1033101159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 NAPOLEON AVE",
            "address_2": "SUITE 500",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701156357",
            "telephone_number": "504-897-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 NAPOLEON AVE",
            "address_2": "SUITE 500",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701156357",
            "telephone_number": "504-897-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KJELLGREN",
        "first_name": "OLLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "11239R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03603593",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1665398",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.