Mary Moore Abell, M.D.
Individual provider Active NPI Internal Medicine Physician · New Orleans, LA
NPI 1083631089 · NPPES record last updated May 27, 2011
Key facts
- NPI
- 1083631089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD017380 (LA)
- Practice address
- 1020 Saint Andrew St
New Orleans, LA 70130-5022 - Phone
- (504) 529-5558
- NPI assigned
- Jul 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Owned or controlled facilities with NPI records 8
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Tulane University School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Thomas Community Health Center Inc
Practice addresses (Care Compare)
1020 Saint Andrew St
New Orleans, LA 70130-5022
Phone 5045295558430
2000 Magazine St
New Orleans, LA 70130-5018
Phone (504) 529-5888
2010 Magazine St
New Orleans, LA 70130-5018
Phone (504) 529-5558
2014 Magazine St
New Orleans, LA 70130-5018
Phone (504) 529-5558
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 8
| Facility | Type | Role | Since |
|---|---|---|---|
| St. Thomas Community Health Center |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
Mar 1, 2009 Mar 1, 2009 |
| St Thomas Community Health Center |
Federally qualified health center | Corporate Director W-2 Managing Employee |
Oct 1, 1991 Oct 1, 1991 |
| St. Thomas Community Health Center |
Federally qualified health center | Corporate Director | Nov 1, 2013 |
| St. Thomas Community Health Center Inc |
Federally qualified health center | Corporate Officer (5%) | Oct 1, 2005 |
| St Thomas Community Health Center - West Bank |
Federally qualified health center | Corporate Officer (100%) | Nov 28, 2017 |
| St. Thomas Community Health Center Inc |
Federally qualified health center | Corporate Officer (100%) | Oct 12, 2017 |
| St Thomas at Holiday Drive |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
May 1, 2023 May 1, 2023 |
| St. Thomas Community Health Center Inc |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
Apr 1, 2023 Apr 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070425000526 | LA | Practitioner - Internal Medicine | 3870698566 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD017380 | LA | MD | Internal Medicine Physician |
Practice roles (8 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Thomas Community Health Center, Inc | Current |
Accepting new patients | |
| St. Thomas Community Health Center, Inc. | Internal Medicine | Current | Accepting new patients |
| St. Thomas Community Health Center, Inc | Internal Medicine | Current |
Accepting new patients |
| St. Thomas Community Health Center, Inc | Past | Accepting new patients | |
| St. Thomas Community Health Center, Inc. | Past | Accepting new patients | |
| St. Thomas Community Health Center, Inc. | Past | Accepting new patients | |
| St. Thomas Community Health Center, Inc. | Past | Accepting new patients | |
| St Thomas Specialty Services LLC | Past |
Accepting new patients |
Locations
230 Ochsner Blvd
Gretna, LA 70056
2000 Magazine St
New Orleans, LA 70130
Phone (504) 529-5888
2014 Magazine St
New Orleans, LA 70130
Phone (504) 529-9115
2010 Magazine St
New Orleans, LA 70130
1936 Magazine St
New Orleans, LA 70130
3221 General Degaulle Dr
New Orleans, LA 70114
1020 Saint Andrew St
New Orleans, LA 70130
3500 Holiday Dr
New Orleans, LA 70114
Phone (504) 367-5724
Networks
- LA PPO C-SNP
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD017380 | LA | Yes |
Addresses
Primary practice location
1020 Saint Andrew St
New Orleans, LA 70130-5022
Mailing address
1020 Saint Andrew St
New Orleans, LA 70130-5022
Phone (504) 529-5558
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1361283 | Medicaid | LA |
Other providers in New Orleans, LA
- Kareem Abdelhamid
- Mohammed Abdelsalam
- Tanya Abdul-Aziz
- Farah Abdulhai
- Allison Abel
- Matthew Jacob Abella
- Kimberly Roy Abercrombie
- Michael Abernathy
- Freddy M. Abi-Samra
- Abide Family Support Services
All providers in New Orleans, LA · Internal Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.