Maria Imelda Bautista, MD

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

07109R Issued in LA

Practice address

1303 Henry Clay Avenue
Neonatal Medical Group
New Orleans, LA 70118

Phone

(504) 896-2229

Fax

(504) 896-8835

NPI assigned

Dec 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Neonatal Medical Group

  • Neonatal-Perinatal Medicine Physician
  • New Orleans, LA
  • NPI 1396806337

  Neonatal-Perinatal Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073676458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 HENRY CLAY AVENUE",
            "address_2": "NEONATAL MEDICAL GROUP",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70118",
            "telephone_number": "504-896-2229",
            "fax_number": "504-896-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 HENRY CLAY AVENUE",
            "address_2": "NEONATAL MEDICAL GROUP",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70118",
            "telephone_number": "504-896-2229",
            "fax_number": "504-896-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "MARIA",
        "middle_name": "IMELDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "LA",
            "license": "07109R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1361852",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McKenna Marie Bauman
• Katherine Baumgarten, MD
• Richard Baumgartner, MD
• Jennifer Pellegrin Baur, MD
• Bausey Medical Solution
• Sheila Bax
• Laquinta Rochelle Baxter
• Dario Armando Bayardo Jr., MS, PLPC, NCC
• Samantha Baye, M.A., PLPC, NCC
• Aquasia D Bayer

• All providers in New Orleans, LA
• Neonatal-Perinatal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.