Individual provider Active NPI

Luke George Cvitanovic

  • Emergency Medicine Physician
  • New Orleans, LA
National Provider Identifier
1053739631
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
304737 Issued in LA
Practice address
1542 Tulane Ave
Department of Sugery 7TH Floor
New Orleans, LA 70112-2865
Phone
(504) 568-4750
NPI assigned
Apr 1, 2014
Last updated
Sep 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 304737 LA Primary

Addresses

Primary practice location

1542 Tulane Ave
Department of Sugery 7TH Floor
New Orleans, LA 70112-2865

Mailing address

1542 Tulane Ave Dept of
New Orleans, LA 70112-2865

Other practice location 1

180 W Esplanade Ave
Kenner, LA 70065-2467
Phone (504) 468-8600

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
I20171205001517 LA Practitioner - Emergency Medicine 2062711864 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenner Emergency Group LLCGroup PAC ID 8426011230, 52 clinicians

Practice addresses (Care Compare)

180 W Esplanade Ave
Kenner, LA 70065-6001
Phone (504) 468-8600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
304737LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kenner Emergency Group LLC Emergency Medicine CurrentSince Aug 19, 2018 Accepting new patients
St. John Emergency Group LLC Emergency Medicine CurrentSince Jan 4, 2020 Accepting new patients
Luling Emergency Group LLC Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients

Locations

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

1900 W Airline Hwy
La Place, LA 70068
Phone (985) 652-7000

1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3740

Interoperability endpoints

  • Direct secure messaging: lcvitanovic604101@direct.ochsner.org

Organizations & group practices 3

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 1

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": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1053739631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 TULANE AVE DEPT OF",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 TULANE AVE",
            "address_2": "DEPARTMENT OF SUGERY 7TH FLOOR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122865",
            "telephone_number": "504-568-4750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 W Esplanade Ave",
            "address_purpose": "LOCATION",
            "city": "Kenner",
            "state": "LA",
            "postal_code": "700652467",
            "country_code": "US",
            "telephone_number": "504-468-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CVITANOVIC",
        "first_name": "LUKE",
        "middle_name": "GEORGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "304737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.