Eric David Engeron, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

021964 Issued in LA

Practice address

225 Dunn St
Houma, LA 70360-4413

Phone

(985) 876-0300

Fax

(985) 872-0317

NPI assigned

Jul 5, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)

Education

Louisiana State University School of Medicine in Shreveport, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiovascular Institute of the South, LLCGroup PAC ID 3779497441, 145 clinicians

Physician Practice PartnersGroup PAC ID 4183909740, 80 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Terrebonne General Medical Center - Parish Hospital, Houma, LA, CCN 190008
• Ochsner St Mary Hospital, Morgan City, LA, CCN 190014
• Lady of the Sea General Hospital Hospital, Cut Off, LA, CCN 191325
• Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004
• Ochsner St Anne General Hospital Hospital, Raceland, LA, CCN 191324

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eengeron408168@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.

• Physician Practice Partners

  • Internal Medicine Physician
  • Houma, LA
  • NPI 1326598434
  Medicare reassignment Care Compare group NPD
• Cardiovascular Institute of the South, LLC

  • Cardiovascular Disease Physician
  • Houma, LA
  • NPI 1982689113
  Medicare reassignment Care Compare group

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

• Lafourche Parish Hospital Service District No.1

  • Critical Access Hospital
  • Cut Off, LA
  • NPI 1407883341
  Care Compare affiliation
• Ochsner Bayou LLC

  • Critical Access Hospital
  • Raceland, LA
  • NPI 1396761805
  Care Compare affiliation
• Ochsner Morgan City LLC

  • General Acute Care Hospital
  • Morgan City, LA
  • NPI 1205482023
  Care Compare affiliation
• Terrebonne Parish Hospital Service District #1

  • General Acute Care Hospital
  • Houma, LA
  • NPI 1518924109
  Care Compare affiliation
• Thibodaux Regional Health System Inc

  • General Acute Care Hospital
  • Thibodaux, LA
  • NPI 1902465065
  Care Compare affiliation

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1154328144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4176",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703614176",
            "telephone_number": "985-876-0300",
            "fax_number": "985-872-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 DUNN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604413",
            "telephone_number": "985-876-0300",
            "fax_number": "985-872-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGERON",
        "first_name": "ERIC",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "021964",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": "021964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "060054661",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1551040",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Vedros Elliott
• Krystal Lynn Ellis, CPHT
• Ranesha Ellis
• Emco Anesthetics and Consulting Services, LLC
• Endocrine One Advanced Diabetes Endocrine Care LLC
• Michael G. Engeron, D.D.S.
• O'Neil Joseph Engeron, M.D.
• Destani English
• Erin H Pennison, MD, Apmc
• Rory Andrew Eschete II, MD

• Interventional Cardiology Physician in Houma, LA
• Providers in Houma, LA by specialty
• Interventional Cardiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.