Individual provider Active NPI

Ulrich A Starke, M.D.

  • Internal Medicine Physician
  • Covington, LA
National Provider Identifier
1114907300
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L019625 Issued in LA
Practice address
20 Starbrush Cir
Covington, LA 70433-7208
Phone
(985) 893-6558
Fax
(985) 893-4298
NPI assigned
Jan 23, 2006
Sex
Male
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L019625 LA Primary

Addresses

Primary practice location

20 Starbrush Cir
Covington, LA 70433-7208

Mailing address

20 Starbrush Cir
Covington, LA 70433-7208
Phone (985) 893-6558

Other identifiers 4

IdentifierTypeStateIssuer
1907341MedicaidLA
L019625OtherLASTATE LICENSE NUMBER
4199822OtherLAAETNA
720478620STAOtherLAOCHSNER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ULRICH.STARKE@hca9.eclinicaldirectplus.com

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
I20061116000129 LA Practitioner - Internal Medicine 7517965072 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L019625LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
Metairie Physician Services Inc. Internal Medicine Past Accepting new patients

Locations

101 Judge Tanner Blvd
Ste 106
Covington, LA 70433
Phone (985) 867-2128

71192 Highway 21
#100
Covington, LA 70433
Phone (985) 871-6020

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

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

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

Interoperability endpoints

  • Direct secure messaging: ulrich.starke@hca9.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1114907300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 STARBRUSH CIR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337208",
            "telephone_number": "985-893-6558",
            "fax_number": "985-893-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 STARBRUSH CIR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337208",
            "telephone_number": "985-893-6558",
            "fax_number": "985-893-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKE",
        "first_name": "ULRICH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "L019625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1907341",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "L019625",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4199822",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCHSNER",
            "identifier": "720478620STA",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ULRICH.STARKE@hca9.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "20 Starbrush Cir",
            "city": "Covington",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704337208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.