NPIMap

Individual provider Active NPI

Cory Lyle Cashman, M.D.

  • Internal Medicine Physician
  • Marrero, LA
National Provider Identifier
1194739326
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
017542 Issued in LA
Practice address
1111 Medical Center Blvd
Ste N411
Marrero, LA 70072-3187
Phone
(504) 328-5703
Fax
(504) 328-5706
NPI assigned
Jul 27, 2006
Last updated
Aug 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 017542 LA Primary

Addresses

Primary practice location

1111 Medical Center Blvd
Ste N411
Marrero, LA 70072-3187

Mailing address

1111 Medical Center Blvd
Ste N411
Marrero, LA 70072-3187
Phone (504) 328-5703

Other identifiers 1

IdentifierTypeStateIssuer
1363774MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060330000012 LA Practitioner - Internal Medicine 7113935313 Receives reassigned benefits from 2 practitioners
Practice locations: Marrero, LA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

111 Medical Ctr Blvd
Suite N 411
Marrero, LA 70072-3187

1111 Medical Ctr Blvd
Suite N411
Marrero, LA 70072-3187
Phone (504) 328-5703

1111 Medical Ctr Blvd
Suite S340
Marrero, LA 70072-3151

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14274LAMDAddiction (Substance Use Disorder) Counselor
017542LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David a Beary MD Apmc PastSince Aug 8, 2021 Accepting new patients
St Bernard Nursing & Rehab, LLC Past Accepting new patients
Bayside Senior Care, L.L.C. Past Accepting new patients
Priority Group Holdings, L.L.C. Past Accepting new patients
Cory Lyle Cashman,MD Internal Medicine PastSince Jan 1, 1990 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bayside Healthcare CenterGretna, LA, CCN 195309 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 1, 2019
Nov 1, 2019
Anvoi HospiceMetairie, LA, CCN 191672 Hospice 5% Or Greater Indirect Ownership Interest (25%) Apr 4, 2017

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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.

Hospital & facility affiliations 5

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1194739326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "STE N411",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723187",
            "telephone_number": "504-328-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "STE N411",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723187",
            "telephone_number": "504-328-5703",
            "fax_number": "504-328-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASHMAN",
        "first_name": "CORY",
        "middle_name": "LYLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "017542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1363774",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.