Individual provider Active NPI

J Renee Coleman Daigle, MD

  • Family Medicine Physician
  • New Orleans, LA
National Provider Identifier
1063584928
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.019865 Issued in LA
Practice address
3700 Saint Charles Ave FL 3
New Orleans, LA 70115-4637
Phone
(504) 210-4291
Fax
(504) 210-4291
NPI assigned
Nov 15, 2006
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.019865 LA Primary
Family Medicine Physician 207Q00000X 019865 LA

Addresses

Primary practice location

3700 Saint Charles Ave FL 3
New Orleans, LA 70115-4637

Mailing address

3700 Saint Charles Ave
FL 3
New Orleans, LA 70115-4637
Phone (225) 526-0001

Other practice location 1

5428 Stumberg Ln
Ste A
Baton Rouge, LA 70816
Phone (225) 756-4100

Other identifiers 1

IdentifierTypeStateIssuer
1933031MedicaidLA

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
I20110317000391 LA Practitioner - Family PracticePractitioner - Hospice/Palliative Care 0547442782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
Louisiana State University School of Medicine in New Orleans, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crescent City Physicians IncGroup PAC ID 2769370543, 158 clinicians

Practice addresses (Care Compare)

3700 Saint Charles Ave
FL 4
New Orleans, LA 70115-4637
Phone (504) 897-7007

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.25 of 100Reported as group
Quality
71.6
Improvement activities
40
Cost
72.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019865LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Touro Infirmary Past Accepting new patients

Networks

  • LA PPO C-SNP

Organizations & group practices 2

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 6

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1063584928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 SAINT CHARLES AVE",
            "address_2": "FL 3",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701154637",
            "telephone_number": "225-526-0001",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SAINT CHARLES AVE FL 3",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701154637",
            "telephone_number": "504-210-4291",
            "fax_number": "504-210-4291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5428 Stumberg Ln",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "70816",
            "country_code": "US",
            "telephone_number": "225-756-4100",
            "fax_number": "225-756-4106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN DAIGLE",
        "first_name": "J",
        "middle_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.019865",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "019865",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1933031",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.