Individual provider Active NPI

Trine L Engebretsen, MD

  • Transplant Surgery Physician
  • New Orleans, LA
National Provider Identifier
1063850196
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
T3077 Issued in TX
Practice address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone
(504) 842-3000
NPI assigned
Jun 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X T3077 TX Primary
Surgery Physician 208600000X 6084 GA

Addresses

Primary practice location

1514 Jefferson Hwy
New Orleans, LA 70121-2429

Mailing address

PO Box 650859 Dept 710
Dallas, TX 75265
Phone (409) 772-3620

Other practice location 1

777 Hemlock St
MSC 140
Macon, GA 31201-2102
Phone (478) 633-8115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20211006002908 TX Practitioner - General Surgery 8820391972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Florida International Univ, College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

Practice addresses (Care Compare)

1005 Harborside Dr FL
Suite 5
Galveston, TX 77555-0001
Phone (409) 772-6781

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.88 of 100Reported as group
Quality
73.38
Improvement activities
40
Cost
78.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6084GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Surgery CurrentSince Sep 20, 2021 Accepting new patients
University of Texas Medical Branch at Galveston PastSince Sep 20, 2021 Accepting new patients

Locations

1005 Harborside Dr
Fl 5
Galveston, TX 77555
Phone (409) 747-3376

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

1005 Harborside Dr
Galveston, TX 77555
Phone (409) 772-0122

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

2660 Gulf Fwy S
League City, TX 77573
Phone (832) 505-2100

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

2240 Gulf Fwy S
Ste 2100
League City, TX 77573
Phone (832) 505-1600

250 Blossom St
Fl 4
Webster, TX 77598
Phone (409) 772-3695

200 Blossom St
Webster, TX 77598
Phone (281) 252-7000

200 Blossom St
Fl 4
Webster, TX 77598

Interoperability endpoints

  • Direct secure messaging: tengebretsenmd52918@direct.utmb.edu

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 and National Provider Directory roles.

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": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1063850196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650859 DEPT 710",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75265",
            "telephone_number": "409-772-3620",
            "fax_number": "409-772-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Hemlock St",
            "address_2": "MSC 140",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312012102",
            "country_code": "US",
            "telephone_number": "478-633-8115",
            "fax_number": "478-633-5127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGEBRETSEN",
        "first_name": "TRINE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "TX",
            "license": "T3077",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "6084",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.