NPIMap

Individual provider Active NPI

John B. Imms, M.D.

  • Emergency Medicine Physician
  • New Orleans, LA
National Provider Identifier
1114366812
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
303822 Issued in LA
Practice address
1401 Foucher St FL 2
New Orleans, LA 70115-3515
Phone
(504) 210-4472
Fax
(504) 210-4473
NPI assigned
Jun 17, 2013
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MT204691 PA
Emergency Medicine Physician 207P00000X 303822 LA Primary
Family Medicine Physician 207Q00000X 303822 LA
Internal Medicine Physician 207R00000X 303822 LA
Hospitalist Physician 208M00000X 303822 LA

Addresses

Primary practice location

1401 Foucher St FL 2
New Orleans, LA 70115-3515

Mailing address

3600 Prytania St Ste 35
New Orleans, LA 70115-3678
Phone (504) 897-8412

Other practice location 1

602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4740

Other practice location 2

4200 Houma Blvd Fl 6
Metairie, LA 70006-2970
Phone (504) 503-4331

Other identifiers 2

IdentifierTypeStateIssuer
MT204691OtherPAGRADUATE MEDICAL TRAINEE
2439012MedicaidLA

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
I20161114001307 LA Practitioner - Internal Medicine 0840579975 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4200 Houma Blvd
FL 6
Metairie, LA 70006-2970
Phone (504) 503-4331

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
303822LAMDInternal Medicine Physician
MT204691PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Thibodaux Regional Network Development Corporation Emergency Medicine Current Accepting new patients
Crescent City Physicians, Inc. Family Medicine CurrentSince Dec 1, 2022 Accepting new patients
East Jefferson Physicians Group LLC Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
University Healthcare System, L.C. Past Accepting new patients
Metairie Physician Services Inc. Internal Medicine Past Accepting new patients
Touro Infirmary Past Accepting new patients

Locations

4200 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4331

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

100 W Harrison Ave
Ste 101
New Orleans, LA 70124
Phone (504) 325-2929

1401 Foucher St
Fl 2
New Orleans, LA 70115
Phone (504) 210-4472

3600 Prytania St
Ste 35
New Orleans, LA 70115
Phone (504) 897-7197

3700 Saint Charles Ave
Fl 4
New Orleans, LA 70115
Phone (504) 897-7007

602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544

Networks

  • LA PPO C-SNP

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Nola SJH II LLCRiver Ridge, LA, CCN 191560 Hospice Contracted Managing Employee Oct 25, 2019

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 6

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.

Hospital & facility affiliations 10

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": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1114366812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 PRYTANIA ST STE 35",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153678",
            "telephone_number": "504-897-8412",
            "fax_number": "504-249-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 FOUCHER ST FL 2",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153515",
            "telephone_number": "504-210-4472",
            "fax_number": "504-210-4473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 N Acadia Rd",
            "address_purpose": "LOCATION",
            "city": "Thibodaux",
            "state": "LA",
            "postal_code": "70301",
            "country_code": "US",
            "telephone_number": "985-493-4740",
            "fax_number": "985-446-5033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4200 Houma Blvd Fl 6",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700062970",
            "country_code": "US",
            "telephone_number": "504-503-4331",
            "fax_number": "504-503-4341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IMMS",
        "first_name": "JOHN",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT204691",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "303822",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "303822",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "303822",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "303822",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRADUATE MEDICAL TRAINEE",
            "identifier": "MT204691",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2439012",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.