Individual provider Active NPI

David J St Germain, M.D.

  • Internal Medicine Physician
  • Metairie, LA
National Provider Identifier
1124086459
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
014799 Issued in LA
Practice address
4224 Houma Blvd
Ste 600
Metairie, LA 70006-2939
Phone
(504) 503-6025
Fax
(504) 503-5201
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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 014799 LA Primary

Addresses

Primary practice location

4224 Houma Blvd
Ste 600
Metairie, LA 70006-2939

Mailing address

4300 Houma Blvd
Ste 202
Metairie, LA 70006-2924
Phone (504) 503-6791

Other identifiers 1

IdentifierTypeStateIssuer
1311847MedicaidLA

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
I20050103000632 LA Practitioner - Internal Medicine 2567420805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Jefferson Physicians Group LLCGroup PAC ID 4587660402, 211 clinicians

Practice addresses (Care Compare)

4315 Houma Blvd
Suite 500
Metairie, LA 70006-2942
Phone (504) 889-5250

Hospital & facility affiliations

  • Mercy Home Health Services Home health agency, Mandeville, LA, CCN 197767
  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014799LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC Internal Medicine CurrentSince Oct 31, 2011 Accepting new patients

Locations

159 Longview Dr
Ste C
Destrehan, LA 70047
Phone (985) 652-9504

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

4224 Houma Blvd
Metairie, LA 70006
Phone (504) 455-6523

4224 Houma Blvd
Ste 520
Metairie, LA 70006
Phone (504) 885-4003

4315 Houma Blvd
Ste 500
Metairie, LA 70006
Phone (504) 889-5250

4300 Houma Blvd
Ste 202
Metairie, LA 70006
Phone (504) 503-6791

4224 Houma Blvd
Ste 600
Metairie, LA 70006
Phone (504) 454-0755

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: david.stgermain@direct.ejgh.org

Organizations & group practices 1

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 5

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1124086459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 HOUMA BLVD",
            "address_2": "STE 202",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062924",
            "telephone_number": "504-503-6791",
            "fax_number": "504-503-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 HOUMA BLVD",
            "address_2": "STE 600",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062939",
            "telephone_number": "504-503-6025",
            "fax_number": "504-503-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST GERMAIN",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "014799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1311847",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.