Individual provider Active NPI

Ijeoma Nneka Innocent-Ituah, MD

  • Family Medicine Physician
  • Kenner, LA
National Provider Identifier
1184824633
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.203042 Issued in LA
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

Updated by the provider on May 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03104797MedicaidMS
1884472MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090815000013 LA Practitioner - Family Practice 4981758638 Reassigns benefits to 3 organizations
I20250916001943 MS Practitioner - Hospitalist 4981758638 Reassigns benefits to 1 organization

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
Belle Chasse Physician Services LLCGroup PAC ID 9335379379, 258 clinicians

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 Home health agency, Metairie, LA, CCN 197203
  • Egan-Ochsner Home Health River Parishes Home health agency, La Place, LA, CCN 197244
  • Hospice Compassus - Greater New Orleans Hospice, Mandeville, LA, CCN 191569
  • Ochsner Medical Center-Kenner Hospital, Kenner, LA, CCN 190274
  • St Charles Parish Hospital Hospital, Luling, LA, CCN 190079
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.203042LAMDFamily Medicine Physician
674-LMSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayfair Physician Services, LLC Internal Medicine CurrentSince Mar 16, 2021 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Medical Foundation, Inc. Family Medicine CurrentSince Jun 21, 2025 Accepting new patients
Medical Foundation, Inc. CurrentSince Jun 21, 2025 Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 1, 2009 Accepting new patients
Ochsner Clinic LLC Internal Medicine CurrentSince Aug 1, 2009 Accepting new patients
Belle Chasse Physician Services LLC CurrentSince Nov 21, 2016 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

  • Direct secure messaging: 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.

FacilityTypeRoleSince
Hospice Compassus - Greater New OrleansMandeville, LA, CCN 191569 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.

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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.