Active NPI
Andrew William Gottschalk, M.D.
- Sports Medicine (Family Medicine) Physician
- Jefferson, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- MD208145
- Practice address
- 1201 S Clearview Pkwy
Ste 104
Jefferson, LA 70121-1015 - Phone
- (504) 736-4800
- NPI assigned
- Apr 2, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | MD441388 | PA | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 259369 | NY | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | MD208145 | LA | Primary |
Addresses
Primary practice location
1201 S Clearview Pkwy
Ste 104
Jefferson, LA 70121-1015
Mailing address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03296595 | Medicaid | NY | |
| 778143000 | Medicaid | MN | |
| 00709541 | Medicaid | MS | |
| 102534788 | Medicaid | PA | |
| 2402706 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1224 Clearview Pkwy
Metairie, LA 70001-3420
Phone (504) 842-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD208145 | LA | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Charles Cole Memorial Hospital | Past | Accepting new patients | |
| Charles Cole Memorial Hospital | Past | Accepting new patients | |
| Cardiology Clinical Group | Past | Accepting new patients | |
| Charles Cole Memorial Hospital D/B/a Upmc Cole | Past | Accepting new patients |
Locations
1514 Jefferson Hwy
New Orleans, LA 70121
1201 S Clearview Pkwy
Ste 104
New Orleans, LA 70121
Phone (504) 736-4800
Interoperability endpoints
- agottschalk308835@direct.ochsner.org
Organizations & group practices 7
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.
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
dba Diabetes Prevention Program
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
dba Ochsner Clinic - Main Campus Satellie - Covington Cath Lab
- General Practice Physician
- Covington, LA
- NPI 1932432945
-
- Cardiovascular Disease Physician
- Rochester, NY
- NPI 1811936727
-
- Anesthesiology Physician
- Coudersport, PA
- NPI 1083632657
-
dba Champion Orthopedics & Sports Medicine
- Orthopaedic Surgery Physician
- Olean, NY
- NPI 1932382058
-
- Dentist
- Coudersport, PA
- NPI 1548618853
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ochsner Medical Center Acute
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- General Acute Care Hospital
- Kenner, LA
- NPI 1710097936
-
- Rehabilitation Hospital Unit
- New Orleans, LA
- NPI 1588817878
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1821098286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451433600000",
"number": "1184745952",
"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": "1201 S CLEARVIEW PKWY",
"address_2": "STE 104",
"city": "JEFFERSON",
"state": "LA",
"postal_code": "701211015",
"telephone_number": "504-736-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTTSCHALK",
"first_name": "ANDREW",
"middle_name": "WILLIAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2015-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "PA",
"license": "MD441388",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NY",
"license": "259369",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "LA",
"license": "MD208145",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03296595",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "778143000",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00709541",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102534788",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2402706",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.