Andrei Marechek, MD, DDS
Individual provider Active NPI Oral & Maxillofacial Surgery (D.M.D.) · Baton Rouge, LA
NPI 1033539606 · NPPES record last updated Apr 17, 2021
Key facts
- NPI
- 1033539606
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.) 204E00000X
- License
- A169364 (CA)
- Practice address
- 3535 Perkins Rd Ste 345
Baton Rouge, LA 70808-2293 - Phone
- (225) 747-0181
- NPI assigned
- Apr 23, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250207001747 | CA | Practitioner - Oral Surgery | 1951671692 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30-024392 | CA | MD | Dentist |
| 104868 | CA | MD | Oral & Maxillofacial Surgery (D.M.D.) |
| A169364 | CA | MD | Oral & Maxillofacial Surgery (D.M.D.) |
| 6973 | LA | MD | Oral & Maxillofacial Surgery (D.M.D.) |
| 30-024392 | OH | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current |
Accepting new patients | |
| Marechek and Sagong Surgery Partnership | Oral & Maxillofacial Surgery | Current |
Accepting new patients |
| Regents of the University of California | Dentist | Current |
Accepting new patients |
| Jacob Dent, DDS a Professional Corporation | Dentist | Past | Accepting new patients |
Locations
17877 Von Karman Ave
Ste 370
Irvine, CA 92614
Phone (949) 818-3223
100 UCLA Medical Plz
Ste 460
Los Angeles, CA 90024
Phone (310) 443-8999
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30-024392 | CA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 6973 | LA | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 6973 | LA | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 104868 | CA | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 30-024392 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | A169364 | CA | Yes |
Addresses
Primary practice location
3535 Perkins Rd Ste 345
Baton Rouge, LA 70808-2293
Mailing address
100 S Alameda St Unit 140
Los Angeles, CA 90012-3930
Phone (858) 361-9456
Other names
- Andrei Meniailenko
Other providers in Baton Rouge, LA
- Nancy L.Evert Marchand
- Jacy Quinn Marchiafava
- Rachel Marcia
- Marco Rodriguez MD LLC
- Catherine Miller Marcus
- Mari Medical
- Shadia Jeannette Maria
- Marian'S Medical Supplies, LLC
- Marian'S Medical Supplies, LLC
- Ashlyn Rayne Maricelli
All providers in Baton Rouge, LA · Oral & Maxillofacial Surgery (D.M.D.) in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.