Individual provider Active NPI

Lesley Ann Saketkoo, MD; MPH

  • Rheumatology Physician
  • New Orleans, LA
National Provider Identifier
1144253931
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
026054 Issued in LA
Practice address
2622 Camp St
New Orleans, LA 70130-5619
Phone
(504) 237-5720
NPI assigned
Jul 8, 2006
Last updated
May 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 026054 LA
Internal Medicine Physician 207R00000X ME 101651 FL
Rheumatology Physician 207RR0500X ME 101651 FL
Rheumatology Physician 207RR0500X 026054 LA Primary
Pediatrics Physician 208000000X 026054 LA
Pediatrics Physician 208000000X ME 101651 FL

Addresses

Primary practice location

2622 Camp St
New Orleans, LA 70130-5619

Mailing address

2622 Camp St
New Orleans, LA 70130-5619
Phone (504) 237-5720

Other practice location 1

1542 Tulane Ave
TM4-2, Department of Medicine
New Orleans, LA 70112-2865
Phone (504) 568-4498

Other practice location 2

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000

Other identifiers 2

IdentifierTypeStateIssuer
1052043MedicaidLA
AL780ZOtherFLMEDICARE

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
I20110915000331 LA Practitioner - RheumatologyPractitioner - Internal MedicinePractitioner - Pediatric Medicine 5092880096 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine, Pediatric Medicine
Education
Tulane University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2622 Camp St
New Orleans, LA 70130-5619
Phone (504) 822-6653

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 101651FLMDPediatrics Physician
026054LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Oct 13, 2014 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Apr 1, 2020 Accepting new patients
Saketkoo MD, LLC Rheumatology CurrentSince May 5, 2021 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G Current Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Oct 13, 2014 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Apr 1, 2020 Accepting new patients
Richard a Cappiello M D P a Rheumatology Past Accepting new patients

Locations

300 Clay St
Kenner, LA 70062
Phone (504) 428-6213

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

1542 Tulane Ave
#42
New Orleans, LA 70112
Phone (504) 568-4498

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

2021 Perdido St
New Orleans, LA 70112
Phone (504) 412-1800

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1144253931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 CAMP ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305619",
            "telephone_number": "504-237-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 CAMP ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305619",
            "telephone_number": "504-237-5720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1542 Tulane Ave",
            "address_2": "TM4-2, Department of Medicine",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701122865",
            "country_code": "US",
            "telephone_number": "504-568-4498",
            "fax_number": "504-568-2127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Canal St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701123018",
            "country_code": "US",
            "telephone_number": "504-702-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAKETKOO",
        "first_name": "LESLEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD; MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "026054",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 101651",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME 101651",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "LA",
            "license": "026054",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "026054",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 101651",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1052043",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "AL780Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.