Individual provider Active NPI

Sean Michael Gipson, M.D.

  • Vascular & Interventional Radiology Physician
  • Hammond, LA
National Provider Identifier
1174865968
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
313473 Issued in LA
Practice address
15790 Paul Vega Dr
Hammond, LA 70403-1436
Phone
(985) 230-1101
NPI assigned
Mar 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 313473 LA
Vascular & Interventional Radiology Physician 2085R0204X 313473 LA Primary

Addresses

Primary practice location

15790 Paul Vega Dr
Hammond, LA 70403-1436

Mailing address

PO Box 2668
Hammond, LA 70404-2668
Phone (985) 230-1682

Other practice location 1

15770 Paul Vega Md Dr Ste 108C
Hammond, LA 70403-1475
Phone (985) 230-6790

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
I20190723002330 LA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 8022232529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 2013
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 Drive Radiology de
North Oaks Medical Center Hospital
Hammond, LA 70403-1434
Phone (985) 230-1683

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.91 of 100Reported as group
Quality
78.17
Promoting interoperability
100
Improvement activities
40
Cost
67.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
313473LAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Oaks Medical Center, LLC Diagnostic Radiology CurrentSince Jul 25, 2019 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Jul 25, 2019 Accepting new patients

Locations

15837 Paul Vega Md Dr
Ste 100
Hammond, LA 70403
Phone (985) 230-6790

15770 Paul Vega Md Dr
Ste 108C
Hammond, LA 70403
Phone (985) 230-6790

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

2101 Robin Ave
Ste 5
Hammond, LA 70403
Phone (985) 230-5390

Organizations & group practices 2

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 3

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": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1174865968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2668",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704042668",
            "telephone_number": "985-230-1682",
            "fax_number": "985-230-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15790 PAUL VEGA DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031436",
            "telephone_number": "985-230-1101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15770 Paul Vega Md Dr Ste 108C",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031475",
            "country_code": "US",
            "telephone_number": "985-230-6790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIPSON",
        "first_name": "SEAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-20",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "313473",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "LA",
            "license": "313473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.