Frederick W Dantagnan IV, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

024747 Issued in LA

Practice address

4228 Houma Blvd
Ste 400
Metairie, LA 70006-3000

Phone

(504) 889-5250

Fax

(504) 889-5288

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Internal Medicine

Education

Louisiana State University School of Medicine in New Orleans, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
• St Charles Parish Hospital Hospital, Luling, LA, CCN 190079
• Ochsner Medical Center-Kenner Hospital, Kenner, LA, CCN 190274
• East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fdantagnan794186@direct.ochsner.org

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.

• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428

  LA

  Medicare reassignment Care Compare group NPD
• Ochsner Clinic LLC

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039

  Internal Medicine

  NPD
• Ochsner Clinic LLC

  • Internal Medicine Physician
  • Slidell, LA
  • NPI 1548755770

  Internal Medicine

  NPD
• Lake Area Physician Services LLC

  • Durable Medical Equipment & Medical Supplies
  • Lake Charles, LA
  • NPI 1275051146
  NPD (past)
• Sidney H Raymond LLC

  • Legal Medicine
  • Metairie, LA
  • NPI 1386777597
  NPD (past)
• Swlhs LLC

  • Internal Medicine Physician
  • Lake Charles, LA
  • NPI 1669494654

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Service Dist. No. 1 of the Parish of St. Charles, State of la

  • General Acute Care Hospital
  • Luling, LA
  • NPI 1295716637

  Hospital

  Care Compare affiliation
• Ochsner Clinic Foundation

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1811973100

  Hospital

  Care Compare affiliation
• Ochsner Medical Center - Kenner, L.L.C.

  • General Acute Care Hospital
  • Kenner, LA
  • NPI 1710097936

  Hospital

  Care Compare affiliation
• University Healthcare System, L.C.

  • Ambulance
  • Metairie, LA
  • NPI 1023717683

  Hospital

  Care Compare affiliation
• University Healthcare System, L.C.

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1033611454

  Hospital

  Care Compare affiliation
• University Healthcare System, L.C.

  • General Acute Care Hospital
  • Metairie, LA
  • NPI 1497792527

  Hospital

  Care Compare affiliation
• University Healthcare System, L.C.

  • Psychiatric Hospital Unit
  • Covington, LA
  • NPI 1790722825

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1124091574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD",
            "address_2": "STE 400",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063000",
            "telephone_number": "504-889-5250",
            "fax_number": "504-889-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD",
            "address_2": "STE 400",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063000",
            "telephone_number": "504-889-5250",
            "fax_number": "504-889-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTAGNAN",
        "first_name": "FREDERICK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "024747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1575208",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "4E268DH01",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Daniels
• Mya Daniels
• Myshira Daniels
• Nicholas Aloysius Danna III, MD
• Allison Felicia Danner, SLP
• Aaliyah Darby
• Allie Renee Dardar
• Macaiyla Darden
• Latonya Darensbourg, APRN
• Sara Patricia Darensbourg, FNP

• Internal Medicine Physician in Metairie, LA
• Providers in Metairie, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.