Individual provider Active NPI

Steven M Youngblood, MD

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1053395988
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200196 Issued in LA
Practice address
1523 Saint Charles Ave
New Orleans, LA 70130-4445
Phone
(504) 374-1000
Fax
(504) 374-1350
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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 200196 LA Primary

Addresses

Primary practice location

1523 Saint Charles Ave
New Orleans, LA 70130-4445

Mailing address

1523 Saint Charles Ave
New Orleans, LA 70130-4445
Phone (504) 374-1000

Other identifiers 2

IdentifierTypeStateIssuer
1626970MedicaidLA
MD200196OtherLASTATE MEDICAL LICENSE

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
I20050721000798 LA Practitioner - Internal Medicine 0648207597 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200196LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Depaul Services Current Accepting new patients
Marillac Community Health Centers CurrentSince Oct 19, 2024 Accepting new patients
Marillac Community Health Centers CurrentSince Oct 19, 2024 Accepting new patients
PMR la Holding, LLC CurrentSince Sep 29, 2021 Accepting new patients
Marillac Community Health Centers Current Accepting new patients
Internal Medicine Associates of Houma Internal Medicine PastSince Aug 1, 2014 Accepting new patients
East Jefferson Physicians Group LLC Internal Medicine Past Accepting new patients
Absolutecare of Louisiana, LLC Past Accepting new patients
Hospital Specialists, LLC Internal Medicine PastSince Nov 26, 2007 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

501 Lapalco Blvd
Gretna, LA 70056
Phone (504) 393-4376

1918 Williams Blvd
Kenner, LA 70062
Phone (504) 471-4860

3530 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 264-5142

6421 W Metairie Ave
Metairie, LA 70003
Phone (504) 513-4400

715 Opelousas Ave
New Orleans, LA 70114
Phone (504) 302-7090

5630 Read Blvd
New Orleans, LA 70127
Phone (504) 248-5357

1025 Napoleon Ave
New Orleans, LA 70115
Phone (504) 891-1927

3201 S Carrollton Ave
New Orleans, LA 70118
Phone (504) 207-3019

1523 Saint Charles Ave
New Orleans, LA 70130
Phone (504) 374-1000

5300 Berkley Dr
New Orleans, LA 70131
Phone (504) 302-7121

1030 Lesseps St
Ste A
New Orleans, LA 70117
Phone (504) 941-6041

2801 General Degaulle Dr
New Orleans, LA 70114
Phone (504) 362-8930

Organizations & group practices 9

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1053395988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 SAINT CHARLES AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701304445",
            "telephone_number": "504-374-1000",
            "fax_number": "504-374-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 SAINT CHARLES AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701304445",
            "telephone_number": "504-374-1000",
            "fax_number": "504-374-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "STEVEN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "200196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1626970",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "MD200196",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.