Individual provider Active NPI

Allen R. Calabresi, MD

  • Hematology & Oncology Physician
  • Slidell, LA
National Provider Identifier
1043375363
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
022569 Issued in LA
Practice address
1120 Robert Blvd
Suite 200
Slidell, LA 70458
Phone
(985) 646-2411
Fax
(985) 646-2413
NPI assigned
Dec 27, 2006
Last updated
Jan 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 17437 MS
Hematology & Oncology Physician 207RH0003X 022569 LA Primary

Addresses

Primary practice location

1120 Robert Blvd
Suite 200
Slidell, LA 70458

Mailing address

1120 Robert Blvd Ste 200
Slidell, LA 70458-2069
Phone (985) 646-2411

Other identifiers 2

IdentifierTypeStateIssuer
1483401MedicaidLA
04659300MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090616000440 MS Practitioner - Hematology/Oncology 9931271939 Reassigns benefits to 1 organization
I20100817001142 LA Practitioner - Hematology/OncologyPractitioner - HematologyPractitioner - Medical Oncology 9931271939 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Hematology
Education
Louisiana State University School of Medicine in Shreveport, 1995
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)

100 Medical Ctr Dr
Slidell, LA 70461-5520
Phone (985) 646-5055

1001 Gause Blvd
Slidell, LA 70458-2939
Phone (985) 646-5970

104 Acadia Park Dr
Raceland, LA 70394-2618
Phone (985) 537-3211

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Mar 23, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 23, 2024 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Slidell Memorial Hospital CurrentSince May 1, 2015 Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
Slidell Memorial Hospital Past Accepting new patients

Locations

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

1001 Gause Blvd
#75
Slidell, LA 70458
Phone (985) 280-3609

105 Medical Center Dr
Ste 205
Slidell, LA 70461
Phone (985) 646-2411

1120 Robert Blvd
Ste 200
Slidell, LA 70458
Phone (985) 646-2223

1150 Robert Blvd
Ste 200
Slidell, LA 70458
Phone (985) 643-9704

1839 Cooper Rd
Ste 100
Picayune, MS 39466
Phone (601) 651-3500

906 Sixth Ave
Picayune, MS 39466
Phone (601) 798-7529

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1043375363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 ROBERT BLVD STE 200",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582069",
            "telephone_number": "985-646-2411",
            "fax_number": "985-646-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 ROBERT BLVD",
            "address_2": "SUITE 200",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70458",
            "telephone_number": "985-646-2411",
            "fax_number": "985-646-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALABRESI",
        "first_name": "ALLEN",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MS",
            "license": "17437",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "LA",
            "license": "022569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1483401",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04659300",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.