Individual provider Active NPI

Lincoln Pranikoff, M.D.

  • Family Medicine Physician
  • New Orleans, LA
National Provider Identifier
1043287410
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
09597R Issued in LA
Practice address
1646 Joseph St
New Orleans, LA 70115-5035
Phone
(504) 975-4547
NPI assigned
Mar 3, 2006
Last updated
May 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 09597R LA Primary

Addresses

Primary practice location

1646 Joseph St
New Orleans, LA 70115-5035

Mailing address

1646 Joseph St
New Orleans, LA 70115-5035
Phone (504) 975-4547

Other identifiers 1

IdentifierTypeStateIssuer
1952877MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09597RLAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parish Hospital Services District for the Parish of Orleans - Dist a Past Accepting new patients
Plaquemines Primary Care, Inc. PastSince May 17, 2014 Accepting new patients
Parish Hospital Service District for the Parish of Orleans Dist a Past Accepting new patients
David a Beary MD Apmc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19414/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1043287410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 JOSEPH ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701155035",
            "telephone_number": "504-975-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 JOSEPH ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701155035",
            "telephone_number": "504-975-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRANIKOFF",
        "first_name": "LINCOLN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "09597R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952877",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.