Active NPI
Sonia Lis Granera, M.D.
- Internal Medicine Physician
- Slidell, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 304890
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
Practice addresses (Care Compare)
15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Phone (985) 230-3066
Hospital & facility affiliations
- North Oaks Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Internal Medicine | Current | Accepting new patients |
| North Oaks Medical Center, LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Belle Chasse Physician Services LLC | Hospitalist | Current | Accepting new patients |
| North Oaks Medical Center, LLC | Hospitalist | Current | Accepting new patients |
| Ochsner Clinic LLC | Current | 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.
-
- Hospitalist Physician
- Terrytown, LA
- NPI 1245653237
Hospitalist, LA
-
- General Acute Care Hospital
- Hammond, LA
- NPI 1972630705
-
- Rural Acute Care Hospital
- Hammond, LA
- NPI 1144227539
-
- Community Based Hospice Care Agency
- Hammond, LA
- NPI 1053397877
-
- Diagnostic Radiology Physician
- Hammond, LA
- NPI 1164785648
-
- General Acute Care Hospital
- Hammond, LA
- NPI 1780868612
-
- Emergency Medicine Physician
- Hammond, LA
- NPI 1871302703
-
- Multi-Specialty Clinic/Center
- Baton Rouge, LA
- NPI 1710120332
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.