Individual provider Active NPI

Susan Ellen Lewis Abdalian, M.D.

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1033200969
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
015231 Issued in LA
Practice address
611 N Rampart St
New Orleans, LA 70112-3505
Phone
(504) 584-1112
Fax
(504) 584-1183
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 015231 LA Primary

Addresses

Primary practice location

611 N Rampart St
New Orleans, LA 70112-3505

Mailing address

1430 Tulane Ave
TW22
New Orleans, LA 70112-2632
Phone (504) 988-2300

Other identifiers 2

IdentifierTypeStateIssuer
1372480MedicaidLA
53878OtherLAMEDICARE - PART B

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
I20050819000082 LA Practitioner - Pediatric Medicine 5092745091 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15231LAMDClinical Social Worker
015231LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Jan 1, 2007 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jan 1, 2007 Accepting new patients
Administrators of the Tulane Education Fund PastSince Jul 31, 2023 Accepting new patients
The Administrators of the Tulane Educational Fund Past Accepting new patients

Locations

1430 Tulane Ave
New Orleans, LA 70112
Phone (504) 585-6485

1430 Tulane Ave
#27
New Orleans, LA 70112
Phone (318) 767-2131

711 N Broad St
New Orleans, LA 70119
Phone (504) 988-3000

1430 Tulane Ave
#22
New Orleans, LA 70112

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1450 Poydras St
New Orleans, LA 70112
Phone (504) 903-2373

611 N Rampart St
New Orleans, LA 70112
Phone (504) 584-1112

2021 Perdido St
New Orleans, LA 70112
Phone (504) 412-1800

1440 Canal St
#4
New Orleans, LA 70112

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

Organizations & group practices 4

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1033200969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE",
            "address_2": "TW22",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-2300",
            "fax_number": "504-988-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N RAMPART ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701123505",
            "telephone_number": "504-584-1112",
            "fax_number": "504-584-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS ABDALIAN",
        "first_name": "SUSAN",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "015231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1372480",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - PART B",
            "identifier": "53878",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.