Active NPI
Ijeoma Nneka Innocent-Ituah, MD
- Family Medicine Physician
- Kenner, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD.203042
- Practice address
- 180 W Esplanade Ave
Kenner, LA 70065-2467 - Phone
- (504) 468-8600
- NPI assigned
- Jul 23, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 674-L | MS | |
| Family Medicine Physician | 207Q00000X | MD.203042 | LA | Primary |
Addresses
Primary practice location
180 W Esplanade Ave
Kenner, LA 70065-2467
Mailing address
1514 Jefferson Highway
New Orleans, LA 70121
Phone (504) 842-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03104797 | Medicaid | MS | |
| 1884472 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2500 Belle Chasse Hwy
Terrytown, LA 70056-7127
Phone (504) 392-3131
Hospital & facility affiliations
- Ochsner Home Health of New Orleans
- Egan-Ochsner Home Health River Parishes
- Hospice Compassus - Greater New Orleans
- Ochsner Medical Center-Kenner
- St Charles Parish Hospital
- Ochsner Medical Center Acute
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.203042 | LA | MD | Family Medicine Physician |
| 674-L | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayfair Physician Services, LLC | Internal Medicine | Current | Accepting new patients |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Medical Foundation, Inc. | Family Medicine | Current | Accepting new patients |
| Medical Foundation, Inc. | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Internal Medicine | Current | Accepting new patients |
| Belle Chasse Physician Services LLC | Current | Accepting new patients | |
| Ochsner Medical Center - Kenner, L.L.C. | Past | Accepting new patients | |
| Hospice Care of Louisiana, LLC | Family Medicine | Past | Accepting new patients |
Locations
17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470
180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284
1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655
1514 Jefferson Hwy
New Orleans, LA 70121
101 W Robert E Lee Blvd
Ste 210
New Orleans, LA 70124
25455 Highway 1
Plaquemine, LA 70764
Phone (225) 754-6870
4608 Highway 1
Raceland, LA 70394
Phone (504) 537-6841
100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131
2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157
1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011
2401 16th St
Meridian, MS 39301
Phone (601) 482-4181
Interoperability endpoints
- iinnocentituah12145@direct.ochsner.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Hospice Compassus - Greater New Orleans | Hospice | Contracted Managing Employee | Dec 31, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Mandeville, LA
- NPI 1942302153
Contracted Managing Employee
Organizations & group practices 9
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 Physician
- Baton Rouge, LA
- NPI 1831688365
Internal Medicine
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Family Medicine Physician
- Meridian, MS
- NPI 1609820539
-
- General Practice Physician
- Slidell, LA
- NPI 1982832556
-
- Emergency Medicine Physician
- Meridian, MS
- NPI 1700917994
-
- Community Based Hospice Care Agency
- Mandeville, LA
- NPI 1942302153
Family Medicine
-
- General Acute Care Hospital
- Kenner, LA
- NPI 1710097936
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- La Place, LA
- NPI 1619923604
-
- Community Based Hospice Care Agency
- Mandeville, LA
- NPI 1942302153
-
- General Acute Care Hospital
- Luling, LA
- NPI 1295716637
-
- Home Health Agency
- Metairie, LA
- NPI 1801033576
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- General Acute Care Hospital
- Kenner, LA
- NPI 1710097936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493942400000",
"number": "1184824633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 JEFFERSON HIGHWAY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70121",
"telephone_number": "504-842-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 W ESPLANADE AVE",
"city": "KENNER",
"state": "LA",
"postal_code": "700652467",
"telephone_number": "504-468-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INNOCENT-ITUAH",
"first_name": "IJEOMA",
"middle_name": "NNEKA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-23",
"last_updated": "2017-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "674-L",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "MD.203042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03104797",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1884472",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kenner, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.