NPIMap

Individual provider Active NPI

Jeremy Gerard Dumas, M.D.

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1104808757
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
025449 Issued in LA
Practice address
2121 Magazine St
New Orleans, LA 70130-5045
Phone
(504) 592-9818
Fax
(504) 525-0152
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 025449 LA
Internal Medicine Physician 207R00000X 025449 LA Primary

Addresses

Primary practice location

2121 Magazine St
New Orleans, LA 70130-5045

Mailing address

2121 Magazine St
New Orleans, LA 70130-5045
Phone (504) 592-9818

Other identifiers 1

IdentifierTypeStateIssuer
1579378MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031204000445 LA Practitioner - Internal Medicine 3779488515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Community Health Care Centers, Inc 17 clinicians

Practice addresses (Care Compare)

3932 Hwy 90 W
Avondale, LA 70094-2648
Phone (504) 436-2223

4028 Hwy 90 W
Avondale, LA 70094-2622
Phone (504) 436-2223

7001 Lapalco Blvd
Marrero, LA 70072-4503
Phone (504) 341-4006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025449LAMDGeneral Practice Physician

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
Jefferson Community Health Care Centers, Inc CurrentSince Jun 1, 2004 Accepting new patients
Jefferson Community Health Care Centers, Inc Current Accepting new patients
Dumas Medical Group LLC Internal Medicine PastSince Oct 5, 2011 Accepting new patients
Jefferson Community Health Care Centers, Inc Past Accepting new patients
Jefferson Community Health Care Centers Inc Past Accepting new patients

Locations

4028 Highway 90 W
Avondale, LA 70094
Phone (504) 436-2223

2552 Williams Blvd
Kenner, LA 70062
Phone (504) 463-3002

5140 Church St
Lafitte, LA 70067
Phone (504) 349-6518

1855 Ames Blvd
Ste B
Marrero, LA 70072
Phone (504) 371-8958

7001 Lapalco Blvd
Marrero, LA 70072
Phone (504) 341-4006

7201 Lapalco Blvd
Marrero, LA 70072
Phone (504) 437-8523

435 S Jamie Blvd
Westwego, LA 70094
Phone (504) 341-4006

3932 Highway 90 W
Westwego, LA 70094
Phone (504) 302-1589

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: jeremy.dumas.1@12324.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
InclusivcareKenner, LA, CCN 191001 Federally qualified health center Corporate Director Jan 1, 2018
InclusivcareMarrero, LA, CCN 191019 Federally qualified health center Corporate Director Jan 1, 2018
InclusivcareMarrero, LA, CCN 191061 Federally qualified health center Corporate Director Jan 1, 2018
Inclusivcare-Emmett Gilbert ElementaryWestwego, LA, CCN 191135 Federally qualified health center Corporate Director Jan 1, 2018
InclusivcareMarrero, LA, CCN 191136 Federally qualified health center Corporate Director Jan 1, 2018

Owned or controlled facilities with NPI records 5

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

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1104808757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 MAGAZINE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305045",
            "telephone_number": "504-592-9818",
            "fax_number": "504-525-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 MAGAZINE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305045",
            "telephone_number": "504-592-9818",
            "fax_number": "504-525-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMAS",
        "first_name": "JEREMY",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "025449",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "025449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1579378",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.