NPIMap

Organization Active NPI

Orthopedic Center for Sports Medicine and Reconstructive Surgery

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Metairie, LA
National Provider Identifier
1124171673
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
ORTHOPEDIC CENTER FOR SPORTS MEDICINE AND RECONSTRUCTIVE SURGERY
Practice address
4921 Airline Dr
Metairie, LA 70001-5664
Phone
(504) 889-2663
Fax
(504) 889-5615
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Dr. Luis Manuel Espinoza, M.D.NPI 1346272515
Title
President
Phone
(504) 467-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

4921 Airline Dr
Metairie, LA 70001-5664

Mailing address

4921 Airline Dr
Metairie, LA 70001-5664
Phone (504) 892-6638

Other identifiers 2

IdentifierTypeStateIssuer
1443450MedicaidLA
1124171673OtherLAMEDICARE ID UNSPECIFIED

Other names 1

  • Orthopedic Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040802001383 LA Part B Supplier - Clinic/Group Practice 4082685250 Receives reassigned benefits from 10 practitioners
Practice locations: Metairie, LA
O20100930029667 LA DME Supplier - Physician - Orthopedic/Orthopedic SurgeryDME Supplier - Orthotic Personnel 4082685250 Practice locations: Metairie, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Orthopedic Center for Sports Medici4921 Airline Dr, Metairie, LA 70001-5664(504) 889-2663 Canes and/or Crutches|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf Accepts assignmentParticipating since Mar 3, 2004

National Provider Directory

National Provider Directory

Locations

671 W Esplanade Ave
Ste 100
Kenner, LA 70065
Phone (504) 231-5988

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1124171673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 AIRLINE DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015664",
            "telephone_number": "504-892-6638",
            "fax_number": "504-889-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 AIRLINE DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015664",
            "telephone_number": "504-889-2663",
            "fax_number": "504-889-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC CENTER FOR SPORTS MEDICINE AND RECONSTRUCTIVE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "ESPINOZA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-467-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1443450",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID UNSPECIFIED",
            "identifier": "1124171673",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orthopedic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.