Individual provider Active NPI

Susan F Ovella, MD

  • Internal Medicine Physician
  • Covington, LA
National Provider Identifier
1104836790
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23081 Issued in LA
Practice address
728 W 11TH Ave
Covington, LA 70433-2318
Phone
(225) 765-5777
Fax
(225) 765-6642
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 23081 LA
Internal Medicine Physician 207R00000X 23081 LA Primary

Addresses

Primary practice location

728 W 11TH Ave
Covington, LA 70433-2318

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (985) 730-7195

Other practice location 1

804 Heavens Dr
Ste 106
Mandeville, LA 70471
Phone (985) 845-0004

Other identifiers 3

IdentifierTypeStateIssuer
1491110MedicaidLA
08687793MedicaidMS
P00148566OtherLAMEDICARE RAILROAD ID

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sovella2398042@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

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
I20040615001560 LA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 9133029721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avala Physician Network LLCGroup PAC ID 8527472422, 12 clinicians

Practice addresses (Care Compare)

67252 Industry LN
Covington, LA 70433-8704
Phone (985) 801-0259

Hospital & facility affiliations

  • Southeast Louisiana Home Health, LLC Home health agency, Covington, LA, CCN 197023
  • St. Tammany Hospital Home Health Home health agency, Madisonville, LA, CCN 197168
  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045
  • Avala Hospital, Covington, LA, CCN 190267
  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23081LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC Internal Medicine Current Accepting new patients
Avala Physician Network, LLC CurrentSince Jan 1, 2026 Accepting new patients
Img Physicians,LLC Internal Medicine Past Accepting new patients
Med-Peds Associates Apmc Past Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

7039 Highway 190 East Service Rd
Covington, LA 70433
Phone (985) 231-6751

67252 Industry Ln
Covington, LA 70433
Phone (985) 801-0259

70411 Highway 21
Covington, LA 70433
Phone (985) 288-5088

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: sovella2398042@direct.casso.us.com
  • Direct secure messaging: susan.ovella@hca9.eclinicaldirectplus.com

Organizations & group practices 4

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 11

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1104836790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "985-730-7195",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 W 11TH AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332318",
            "telephone_number": "225-765-5777",
            "fax_number": "225-765-6642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 Heavens Dr",
            "address_2": "Ste 106",
            "address_purpose": "LOCATION",
            "city": "Mandeville",
            "state": "LA",
            "postal_code": "70471",
            "country_code": "US",
            "telephone_number": "985-845-0004",
            "fax_number": "985-845-0611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OVELLA",
        "first_name": "SUSAN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "23081",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "23081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1491110",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08687793",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD ID",
            "identifier": "P00148566",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sovella2398042@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "sovella2398042@direct.casso.us.com",
            "address_1": "728 W 11th Ave",
            "city": "Covington",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704332318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "728 W 11th Ave",
            "city": "Covington",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704332318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.