Individual provider Active NPI

Gregory F Ferrara, M.D.

  • Family Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1073596094
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
015137 Issued in LA
Practice address
13828 Coursey Blvd
Baton Rouge, LA 70817-1307
Phone
(225) 751-1544
Fax
(225) 751-1909
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 015137 LA Primary

Addresses

Primary practice location

13828 Coursey Blvd
Baton Rouge, LA 70817-1307

Mailing address

13828 Coursey Blvd
Baton Rouge, LA 70817-1307
Phone (225) 752-4530

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
I20040825000449 LA Practitioner - Family Practice 1759355662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13828 Coursey Blvd
Baton Rouge, LA 70817-1307
Phone (225) 752-8356

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15137LAMDPharmacist
015137LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Medical Associates, LLC CurrentSince Jun 1, 2004 Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients
Our Lady of the Lake Hospital Inc Family Medicine Past Accepting new patients

Locations

13828 Coursey Blvd
Baton Rouge, LA 70817
Phone (225) 752-4530

Interoperability endpoints

  • Direct secure messaging: gregory.ferrara.1@16148.direct.athenahealth.com

Organizations & group practices 3

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 7

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1073596094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13828 COURSEY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708171307",
            "telephone_number": "225-752-4530",
            "fax_number": "225-752-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13828 COURSEY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708171307",
            "telephone_number": "225-751-1544",
            "fax_number": "225-751-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRARA",
        "first_name": "GREGORY",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "015137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.