Individual provider Active NPI

Geoffrey Allen Kitzman, M.D.

  • Gastroenterology Physician
  • New Orleans, LA
National Provider Identifier
1184893463
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD.202734 Issued in LA
Practice address
5620 Read Blvd Ste 600
New Orleans, LA 70127-3106
Phone
(504) 592-6437
Fax
(504) 592-6438
NPI assigned
Feb 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD.202734 LA Primary

Addresses

Primary practice location

5620 Read Blvd Ste 600
New Orleans, LA 70127-3106

Mailing address

5620 Read Blvd Ste 600
New Orleans, LA 70127-3106
Phone (504) 592-6437

Other identifiers 2

IdentifierTypeStateIssuer
1079791MedicaidLA
01822863MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, NM2 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
I20170816001900 LA Practitioner - Gastroenterology 5193857969 Reassigns benefits to 1 organization
I20230713001478 NM Practitioner - Gastroenterology 5193857969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Tulane University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NNM Gastroenterology Associates PAGroup PAC ID 5496653230, 12 clinicians

Practice addresses (Care Compare)

1691 Galisteo St
Suite C
Santa Fe, NM 87505-4781
Phone (505) 983-5631

Hospital & facility affiliations

  • Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002

Merit-based Incentive Payment System (MIPS)

Final score
97.11 of 100Reported as group
Quality
94.22
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy137
Upper gastrointestinal (GI) endoscopy for acid reflux247

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.202734LAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NNM Gastroenterology Associates PA CurrentSince Jun 1, 2023 Accepting new patients
LCMC Health Clinical Services, LLC CurrentSince Aug 4, 2018 Accepting new patients

Locations

5620 Read Blvd
New Orleans, LA 70127
Phone (504) 241-2664

5620 Read Blvd
Ste 600
New Orleans, LA 70127
Phone (504) 592-6437

1691 Galisteo St
Ste C
Santa Fe, NM 87505
Phone (505) 983-5631

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 1

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": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1184893463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 READ BLVD STE 600",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701273106",
            "telephone_number": "504-592-6437",
            "fax_number": "504-592-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 READ BLVD STE 600",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701273106",
            "telephone_number": "504-592-6437",
            "fax_number": "504-592-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITZMAN",
        "first_name": "GEOFFREY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-21",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "MD.202734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1079791",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01822863",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.