Individual provider Active NPI

Robert Ancira, M.D.

  • Psychiatry Physician
  • New Orleans, LA
National Provider Identifier
1063428092
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
012137 Issued in LA
Practice address
1325 Amelia St
New Orleans, LA 70115-3625
Phone
(504) 891-8503
Fax
(504) 891-9428
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 012137 LA Primary

Addresses

Primary practice location

1325 Amelia St
New Orleans, LA 70115-3625

Mailing address

1325 Amelia St
New Orleans, LA 70115-3625
Phone (504) 891-8503

Other identifiers 1

IdentifierTypeStateIssuer
1164739MedicaidLA

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
I20120221000794 LA Practitioner - Psychiatry 9739179441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Tulane University School of Medicine, 1972
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1325 Amelia St
New Orleans, LA 70115-3625

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012137LAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Ancira, M.D., a Medical Corporation Psychiatry CurrentSince Nov 22, 2011 Accepting new patients

Locations

1325 Amelia St
New Orleans, LA 70115
Phone (504) 891-5807

1325 Amelia St
#200
New Orleans, LA 70115
Phone (504) 891-8503

Organizations & group practices 1

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063428092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 AMELIA ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153625",
            "telephone_number": "504-891-8503",
            "fax_number": "504-891-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 AMELIA ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153625",
            "telephone_number": "504-891-8503",
            "fax_number": "504-891-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANCIRA",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "012137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164739",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.