Individual provider Active NPI

Callender Riley Creel

  • Emergency Medicine Physician
  • New Orleans, LA
National Provider Identifier
1184183345
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
330427 Issued in LA
Practice address
2001 Tulane Avenue
D&T, 2ND Floor, Suite 2720
New Orleans, LA 70112
Phone
(504) 702-2287
NPI assigned
Mar 18, 2019
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 330427 LA Primary

Addresses

Primary practice location

2001 Tulane Avenue
D&T, 2ND Floor, Suite 2720
New Orleans, LA 70112

Mailing address

2001 Tulane Avenue
D&T, 2ND Floor, Suite 2720
New Orleans, LA 70112-3415
Phone (504) 702-2287

Other practice location 1

3102 Prytania St
New Orleans, LA 70115-3415
Phone (504) 256-4326

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
I20230705002824 LA Practitioner - Emergency Medicine 0143556167 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
330427LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Children's Hospital CurrentSince Feb 1, 2025 Accepting new patients
East Jefferson Emergency Management LLC Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Van Meter Emergency Physicians Inc. Apmc Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
C & M Medical Services, Inc. CurrentSince Mar 1, 2023 Accepting new patients

Locations

301 Walnut St
Amite, LA 70422
Phone (985) 748-7141

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

52579 Highway 51 S
Independence, LA 70443
Phone (985) 878-1349

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

4545 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 896-9822

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

2202 False River Dr
New Roads, LA 70760
Phone (225) 638-5702

Organizations & group practices 5

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1184183345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 TULANE AVENUE",
            "address_2": "D&T, 2ND FLOOR, SUITE 2720",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701123415",
            "telephone_number": "504-702-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 TULANE AVENUE",
            "address_2": "D&T, 2ND FLOOR, SUITE 2720",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70112",
            "telephone_number": "504-702-2287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3102 Prytania St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701153415",
            "country_code": "US",
            "telephone_number": "504-256-4326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREEL",
        "first_name": "CALLENDER",
        "middle_name": "RILEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "330427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.