Individual provider Active NPI

Patrick Delery Drennan, M.D.

  • Child & Adolescent Psychiatry Physician
  • New Orleans, LA
National Provider Identifier
1114066842
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
025246 Issued in LA
Practice address
210 State St
New Orleans, LA 70118-5735
Phone
(504) 897-4741
Fax
(504) 896-4918
NPI assigned
Feb 6, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 025246 LA Primary

Addresses

Primary practice location

210 State St
New Orleans, LA 70118-5735

Mailing address

1302 Jackson Ave
New Orleans, LA 70130-5132
Phone (504) 523-3603

Other identifiers 2

IdentifierTypeStateIssuer
1489395MedicaidLA
48939MedicaidLA

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
I20151215002444 LA Practitioner - Psychiatry 9436450574 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025246LAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Oct 1, 2017 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Nov 3, 2015 Accepting new patients
Ochsner Clinic LLC CurrentSince Oct 1, 2017 Accepting new patients
South Central la Human Services Authority Current Accepting new patients
South Central la Human Services Authority CurrentSince May 27, 2016 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Nov 3, 2015 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients

Locations

158 Regal Row
Houma, LA 70360
Phone (985) 791-8525

5599 Highway 311
Houma, LA 70360
Phone (985) 857-3615

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1430 Tulane Ave
#8055
New Orleans, LA 70112
Phone (504) 988-5407

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

104 Acadia Park Dr
#9390
Raceland, LA 70394
Phone (225) 336-3100

157 Twin Oaks Dr
Raceland, LA 70394
Phone (985) 537-6823

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJJCA
  • Direct secure messaging: pdrennan480247@direct.ochsner.org

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1114066842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 JACKSON AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305132",
            "telephone_number": "504-523-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 STATE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185735",
            "telephone_number": "504-897-4741",
            "fax_number": "504-896-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRENNAN",
        "first_name": "PATRICK",
        "middle_name": "DELERY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "LA",
            "license": "025246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1489395",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48939",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.