Individual provider Active NPI

Timothy John Skalak, M.D.

  • Pediatric Orthopaedic Surgery Physician
  • New Orleans, LA
National Provider Identifier
1043699002
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
327829 Issued in LA
Practice address
200 Henry Clay Ave
New Orleans, LA 70118-5798
Phone
(504) 899-3496
Fax
(504) 896-9849
NPI assigned
May 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301108205 MI
Student in an Organized Health Care Education/Training Program 390200000X 4301108205 MI
Pediatric Orthopaedic Surgery Physician 207XP3100X 327829 LA Primary

Addresses

Primary practice location

200 Henry Clay Ave
New Orleans, LA 70118-5798

Mailing address

200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (330) 256-7271

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
I20211012001704 LA Practitioner - Orthopedic Surgery 1850640830 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Ohio State University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Childrens Hospital Medical Practice CorporationGroup PAC ID 5597944579, 48 clinicians

Practice addresses (Care Compare)

200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (504) 899-9511

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
327829LAMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Oaks Medical Center, LLC CurrentSince May 18, 2024 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Sep 1, 2021 Accepting new patients
Childrens Hospital Medical Practice Corporation CurrentSince Sep 1, 2021 Accepting new patients
North Oaks Physician Group, LLC CurrentSince Dec 17, 2023 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Sep 1, 2021 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Sep 1, 2021 Accepting new patients
Children'S Hospital Past Accepting new patients

Locations

501 Medical Center Dr
Ste 4C
Alexandria, LA 71301
Phone (337) 371-3101

1208 Wisteria St
#4
Alexandria, LA 71301
Phone (318) 484-4801

71211 Highway 21
Ste B
Covington, LA 70433
Phone (985) 893-9922

141 Ormond Center Ct
Destrehan, LA 70047
Phone (985) 764-7337

15813 Paul Vega Md Dr
Ste 200
Hammond, LA 70403
Phone (985) 230-7650

15813 Paul Vega Md Dr
Ste 100
Hammond, LA 70403
Phone (985) 230-2663

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

15742 Medical Arts Dr
Hammond, LA 70403
Phone (985) 230-5437

2121 Ridgelake Dr
Fl 2
Metairie, LA 70001
Phone (504) 832-4033

3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

1430 Tulane Ave
#8632
New Orleans, LA 70112
Phone (504) 988-5192

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

Organizations & group practices 7

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": "1432339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1043699002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HENRY CLAY AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185720",
            "telephone_number": "330-256-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HENRY CLAY AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185798",
            "telephone_number": "504-899-3496",
            "fax_number": "504-896-9849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKALAK",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-23",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301108205",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301108205",
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "LA",
            "license": "327829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.