Individual provider Active NPI

Sonia Lis Granera, M.D.

  • Internal Medicine Physician
  • Slidell, LA
National Provider Identifier
1174579346
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
304890 Issued in LA
Practice address
100 Medical Center Dr
Slidell, LA 70461
Phone
(985) 646-5750
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200100539 NC
Hospitalist Physician 208M00000X 200100539 NC
Internal Medicine Physician 207R00000X 304890 LA Primary

Addresses

Primary practice location

100 Medical Center Dr
Slidell, LA 70461

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other practice location 1

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-0273

Other practice location 2

215 Marion Ave
McComb, MS 39648-2705
Phone (601) 249-5500

Other practice location 3

215 Marion Ave
McComb, MS 39648-2705
Phone (601) 249-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060920000340 NC Practitioner - Internal Medicine 4981609211
I20180828002925 LA Practitioner - Internal Medicine 4981609211 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Oaks Medical Center LLCGroup PAC ID 2466629522, 317 clinicians

Practice addresses (Care Compare)

15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Phone (985) 230-3066

Hospital & facility affiliations

  • North Oaks Medical Center Hospital, Hammond, LA, CCN 190015

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Internal Medicine CurrentSince Jul 23, 2018 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Jan 1, 2019 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Belle Chasse Physician Services LLC Hospitalist CurrentSince Jul 30, 2018 Accepting new patients
North Oaks Medical Center, LLC Hospitalist CurrentSince Jan 1, 2019 Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 23, 2018 Accepting new patients
North Oaks Medical Center, LLC Past Accepting new patients

Locations

16777 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 754-3278

71380 Highway 21
Covington, LA 70433
Phone (985) 661-3534

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

2101 Robin Ave
Ste 11
Hammond, LA 70403
Phone (985) 230-1860

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
#9390
Raceland, LA 70394
Phone (225) 336-3100

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

Organizations & group practices 11

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 1

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1174579346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70461",
            "telephone_number": "985-646-5750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 Biltmore Ave",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014601",
            "country_code": "US",
            "telephone_number": "828-213-0273",
            "fax_number": "866-285-9740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Marion Ave",
            "address_purpose": "LOCATION",
            "city": "McComb",
            "state": "MS",
            "postal_code": "396482705",
            "country_code": "US",
            "telephone_number": "601-249-5500",
            "fax_number": "601-249-1173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Marion Ave",
            "address_purpose": "LOCATION",
            "city": "McComb",
            "state": "MS",
            "postal_code": "396482705",
            "country_code": "US",
            "telephone_number": "601-249-5500",
            "fax_number": "601-249-1173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANERA",
        "first_name": "SONIA",
        "middle_name": "LIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200100539",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "200100539",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "304890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.