Theodore A. Irra, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

11701R Issued in LA

Practice address

3434 Houma Blvd
Suite 200
Metairie, LA 70006-4200

Phone

(504) 458-6061

Fax

(504) 866-0206

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

Yes

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.

• Jena Ess LLC

  • Emergency Medicine Physician
  • Jena, LA
  • NPI 1235544115

  Emergency Medicine, LA

  Medicare reassignment Care Compare group NPD
• Oakdale Ess LLC

  • Emergency Medicine Physician
  • Oakdale, LA
  • NPI 1750785119

  Emergency Medicine, LA

  Medicare reassignment Care Compare group NPD
• Fairway Medical Urgent Care LLC

  • Urgent Care Clinic/Center
  • Covington, LA
  • NPI 1669627626
  NPD (past)
• Hospital Service District No. 2

  • Critical Access Hospital
  • Breaux Bridge, LA
  • NPI 1548263262
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Service District #2 of Lasalle Parish

  • General Acute Care Hospital
  • Jena, LA
  • NPI 1801825005

  Hospital

  Care Compare affiliation
• Madison Parish Hospital Service District

  • Critical Access Hospital
  • Tallulah, LA
  • NPI 1851393409

  Hospital

  Care Compare affiliation

Specialty

Emergency Medicine

Education

Temple University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jena Ess LLC 15 clinicians

Oakdale Ess LLC 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lasalle General Hospital Hospital, Jena, LA, CCN 190145
• Madison Parish Hospital Hospital, Tallulah, LA, CCN 191314

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 2, 2009.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251849600000",
    "number": "1104879253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 HOUMA BLVD STE 200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064278",
            "telephone_number": "504-458-6061",
            "fax_number": "504-866-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 HOUMA BLVD",
            "address_2": "SUITE 200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064200",
            "telephone_number": "504-458-6061",
            "fax_number": "504-866-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRRA",
        "first_name": "THEODORE",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2009-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "11701R",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.08928R",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "MD.08928R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1977276",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iqbal MD LLC
• Ira P Markowitz Facs LLC
• Ira P Markowitz MD Facs LLC
• Alaycia Irons
• Jessica A Irons
• Toddreill Irvin
• Louis C Irwin, LCSW
• Jenora Isaac
• Latonya L Isaac, APRN
• Reba Ann Isaac

• All providers in Metairie, LA
• Emergency Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.