Active NPI
Steven M Youngblood, MD
- Internal Medicine Physician
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 200196
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1626970 | Medicaid | LA | |
| MD200196 | Other | LA | STATE 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200196 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Depaul Services | Current | Accepting new patients | |
| Marillac Community Health Centers | Current | Accepting new patients | |
| Marillac Community Health Centers | Current | Accepting new patients | |
| PMR la Holding, LLC | Current | Accepting new patients | |
| Marillac Community Health Centers | Current | Accepting new patients | |
| Internal Medicine Associates of Houma | Internal Medicine | Past | 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 | Past | 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.
-
- Urgent Care Clinic/Center
- New Orleans, LA
- NPI 1376397836
-
- Primary Care Clinic/Center
- Metairie, LA
- NPI 1396059796
-
- Internal Medicine Physician
- Houma, LA
- NPI 1497935795
-
- Specialist
- New Orleans, LA
- NPI 1497173967
-
- Federally Qualified Health Center (FQHC)
- Hammond, LA
- NPI 1578442505
-
- Specialist
- Miami Gardens, FL
- NPI 1700333689
-
- Infectious Disease Physician
- New Orleans, LA
- NPI 1184399883
-
- Internal Medicine Physician
- New Orleans, LA
- NPI 1922293372
-
- Internal Medicine Physician
- Houma, LA
- NPI 1477619260
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.