Individual provider Active NPI

Mary Moore Abell, M.D.

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1083631089
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD017380 Issued in LA
Practice address
1020 Saint Andrew St
New Orleans, LA 70130-5022
Phone
(504) 529-5558
NPI assigned
Jul 16, 2006
Last updated
May 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD017380 LA Primary

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

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
I20070425000526 LA Practitioner - Internal Medicine 3870698566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tulane University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD017380LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Thomas Community Health Center, Inc. Internal Medicine Current Accepting new patients
St. Thomas Community Health Center, Inc Internal Medicine CurrentSince Jul 1, 2006 Accepting new patients
St. Thomas Community Health Center, Inc CurrentSince Oct 1, 2005 Accepting new patients
St Thomas Specialty Services LLC PastSince Apr 25, 2018 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

Locations

230 Ochsner Blvd
Gretna, LA 70056

1020 Saint Andrew St
New Orleans, LA 70130

1936 Magazine St
New Orleans, LA 70130

2000 Magazine St
New Orleans, LA 70130
Phone (504) 529-5888

2010 Magazine St
New Orleans, LA 70130

2014 Magazine St
New Orleans, LA 70130
Phone (504) 529-9115

3221 General Degaulle Dr
New Orleans, LA 70114

3500 Holiday Dr
New Orleans, LA 70114
Phone (504) 367-5724

Networks

  • LA PPO C-SNP

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St. Thomas Community Health CenterNew Orleans, LA, CCN 191868 Federally qualified health center Corporate Officer
W-2 Managing Employee
Mar 1, 2009
Mar 1, 2009
St Thomas Community Health CenterNew Orleans, LA, CCN 191893 Federally qualified health center Corporate Director
W-2 Managing Employee
Oct 1, 1991
Oct 1, 1991
St. Thomas Community Health CenterNew Orleans, LA, CCN 191912 Federally qualified health center Corporate Director Nov 1, 2013
St. Thomas Community Health Center IncNew Orleans, LA, CCN 191976 Federally qualified health center Corporate Officer (5%) Oct 1, 2005
St Thomas Community Health Center - West BankGretna, LA, CCN 191984 Federally qualified health center Corporate Officer (100%) Nov 28, 2017
St. Thomas Community Health Center IncNew Orleans, LA, CCN 191985 Federally qualified health center Corporate Officer (100%) Oct 12, 2017
St Thomas at Holiday DriveNew Orleans, LA, CCN 191143 Federally qualified health center Corporate Officer
W-2 Managing Employee
May 1, 2023
May 1, 2023
St. Thomas Community Health Center IncNew Orleans, LA, CCN 191149 Federally qualified health center Corporate Officer
W-2 Managing Employee
Apr 1, 2023
Apr 1, 2023

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1083631089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SAINT ANDREW ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305022",
            "telephone_number": "504-529-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SAINT ANDREW ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305022",
            "telephone_number": "504-529-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABELL",
        "first_name": "MARY",
        "middle_name": "MOORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD017380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.