Individual provider Active NPI

David Nelson Oubre, M.D.

  • Hematology & Oncology Physician
  • Hammond, LA
National Provider Identifier
1104883305
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
022330 Issued in LA
Practice address
15752 Medical Arts Plaza
Suite 101
Hammond, LA 70403
Phone
(985) 419-0025
Fax
(985) 419-0035
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 022330 LA Primary

Addresses

Primary practice location

15752 Medical Arts Plaza
Suite 101
Hammond, LA 70403

Mailing address

15752 Medical Arts Plaza
Suite 101
Hammond, LA 70403
Phone (985) 419-0025

Other practice location 1

120 Lakeview Cir
Covington, LA 70433-7512
Phone (985) 875-1202

Other practice location 2

433 Plaza St Fl 3
Bogalusa, LA 70427-3729
Phone (985) 875-1202

Other identifiers 1

IdentifierTypeStateIssuer
1665878MedicaidLA

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
I20041004000195 LA Practitioner - Hematology/Oncology 6608835996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Louisiana State University School of Medicine in New Orleans, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pontchartrain Cancer Center IncGroup PAC ID 6305863580, 4 clinicians

Practice addresses (Care Compare)

15799 Professional PLZ
Hammond, LA 70403-1452
Phone (985) 419-0025

Hospital & facility affiliations

  • North Oaks Medical Center Hospital, Hammond, LA, CCN 190015
  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045
  • Hood Memorial Hospital Hospital, Amite, LA, CCN 191309
  • St Helena Parish Hospital Hospital, Greensburg, LA, CCN 191300

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022330LAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pontchartrain Cancer Center CurrentSince Sep 1, 2005 Accepting new patients
Pontchartrain Cancer Center Inc Hematology & Oncology CurrentSince Sep 1, 2005 Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

120 Lakeview Cir
Covington, LA 70433
Phone (985) 875-1020

15799 Professional Plz
Hammond, LA 70403
Phone (985) 419-0025

Interoperability endpoints

  • Direct secure messaging: doubre5287123@direct.casso.us.com

Organizations & group practices 3

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1104883305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15752 MEDICAL ARTS PLAZA",
            "address_2": "SUITE 101",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70403",
            "telephone_number": "985-419-0025",
            "fax_number": "985-419-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15752 MEDICAL ARTS PLAZA",
            "address_2": "SUITE 101",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70403",
            "telephone_number": "985-419-0025",
            "fax_number": "985-419-0035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Lakeview Cir",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704337512",
            "country_code": "US",
            "telephone_number": "985-875-1202",
            "fax_number": "985-875-1205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 Plaza St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "704273729",
            "country_code": "US",
            "telephone_number": "985-875-1202",
            "fax_number": "985-875-1205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OUBRE",
        "first_name": "DAVID",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "LA",
            "license": "022330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1665878",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.