Individual provider Active NPI

Edward F Pitard, M.D.

  • Procedural Dermatology Physician
  • New Orleans, LA
National Provider Identifier
1033180583
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
015724 Issued in LA
Practice address
602 Robert E Lee Blvd
New Orleans, LA 70124-2545
Phone
(504) 888-4040
Fax
(504) 888-5959
NPI assigned
Jan 31, 2006
Last updated
Oct 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 015724 LA Primary

Addresses

Primary practice location

602 Robert E Lee Blvd
New Orleans, LA 70124-2545

Mailing address

602 Robert E Lee Blvd
New Orleans, LA 70124-2545
Phone (504) 888-4040

Other identifiers 1

IdentifierTypeStateIssuer
6501004638801MedicaidLA

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
I20071023000414 LA Practitioner - DermatologyPractitioner - Plastic and Reconstructive Surgery 4789770603 Practice locations: New Orleans, LA

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in New Orleans, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

602 Robert E Lee Blvd
New Orleans, LA 70124-2545
Phone (504) 888-4040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision127
Removal of skin lesions499

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015724LAMDProcedural Dermatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1033180583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 ROBERT E LEE BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701242545",
            "telephone_number": "504-888-4040",
            "fax_number": "504-888-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 ROBERT E LEE BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701242545",
            "telephone_number": "504-888-4040",
            "fax_number": "504-888-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITARD",
        "first_name": "EDWARD",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "LA",
            "license": "015724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6501004638801",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.