Active NPI
Trine L Engebretsen, MD
- Transplant Surgery Physician
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Surgery Physician
- License
- T3077
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 73.38
- Improvement activities
- 40
- Cost
- 78.42
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6084 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb Faculty Group Practice | Surgery | Current | Accepting new patients |
| University of Texas Medical Branch at Galveston | Past | 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
- 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.
-
- Community/Retail Pharmacy
- Friendswood, TX
- NPI 1699532861
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Texas Medical Branch
- General Acute Care Hospital
- Galveston, TX
- NPI 1548226988
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.