Individual provider Active NPI

Brooks Jared Culotta, MD

  • Pulmonary Disease Physician
  • Metairie, LA
National Provider Identifier
1063944494
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
322287 Issued in LA
Practice address
4224 Houma Blvd Ste 140
Metairie, LA 70006-2934
Phone
(504) 503-6565
Fax
(504) 456-8053
NPI assigned
Apr 3, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 322287 LA Primary
Internal Medicine Physician 207R00000X 322287 LA

Addresses

Primary practice location

4224 Houma Blvd Ste 140
Metairie, LA 70006-2934

Mailing address

1100 Poydras St., 2500 Energy Centre
New Orleans, LA 70163-2500
Phone (504) 527-9953

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
I20230810001527 LA Practitioner - Pulmonary Disease 4284096066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Georgetown University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Jefferson Physicians Group LLCGroup PAC ID 4587660402, 211 clinicians

Practice addresses (Care Compare)

4224 Houma Blvd
Suite 140
Metairie, LA 70006-2934
Phone (504) 503-7280

Hospital & facility affiliations

  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • Touro Infirmary Hospital, New Orleans, LA, CCN 190046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
322287LAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC Internal Medicine CurrentSince Sep 15, 2023 Accepting new patients
Metairie Physician Services Inc. Internal Medicine Past Accepting new patients

Locations

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

4224 Houma Blvd
Ste 140
Metairie, LA 70006
Phone (504) 454-7721

1100 Poydras St
Ste 2500
New Orleans, LA 70163
Phone (504) 527-9953

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 and National Provider Directory roles.

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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1063944494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 POYDRAS ST., 2500 ENERGY CENTRE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701632500",
            "telephone_number": "504-527-9953",
            "fax_number": "504-527-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 HOUMA BLVD STE 140",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062934",
            "telephone_number": "504-503-6565",
            "fax_number": "504-456-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULOTTA",
        "first_name": "BROOKS",
        "middle_name": "JARED",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "322287",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "322287",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.