Individual provider Active NPI

Maria A. Incer-Obando, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Belle Chasse, LA
National Provider Identifier
1194777078
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
003061 Issued in NY
Practice address
139 Chapel Hill Dr
Belle Chasse, LA 70037-1675
Phone
(504) 505-3247
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 39095 KY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 003061 NY Primary
Specialist 174400000X 026646 LA

Addresses

Primary practice location

139 Chapel Hill Dr
Belle Chasse, LA 70037-1675

Mailing address

139 Chapel Hill Dr
Belle Chasse, LA 70037-1675
Phone (504) 505-3247

Other identifiers 3

IdentifierTypeStateIssuer
2162373MedicaidLA
05912464OtherECFMG
02987002MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, SD2 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
I20110826000071 LA Practitioner - EndocrinologyPractitioner - Internal Medicine 6204866619 Reassigns benefits to 2 organizations
I20160907000330 SD Practitioner - Endocrinology 6204866619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Medical Center Management CorporationGroup PAC ID 7012150311, 91 clinicians

Practice addresses (Care Compare)

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000

Hospital & facility affiliations

  • University Medical Center New Orleans Hospital, New Orleans, LA, CCN 190005
  • West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026646LAMDSpecialist
003061NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital, Inc. CurrentSince Aug 14, 2016 Accepting new patients
Tilak K Mallik MD Face LLC Endocrinology, Diabetes & Metabolism CurrentSince Mar 3, 2021 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Aug 14, 2016 Accepting new patients
University Medical Center Management Corporation CurrentSince Jan 1, 2019 Accepting new patients
University Medical Center Management Corporation Endocrinology, Diabetes & Metabolism CurrentSince Jan 1, 2019 Accepting new patients
Internal Medicine Specialists, Inc. Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

1111 Medical Center Blvd
Ste S113
Marrero, LA 70072
Phone (504) 349-6520

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

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.

Hospital & facility affiliations 2

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1194777078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CHAPEL HILL DR",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700371675",
            "telephone_number": "504-505-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CHAPEL HILL DR",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700371675",
            "telephone_number": "504-505-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCER-OBANDO",
        "first_name": "MARIA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "39095",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "003061",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "026646",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2162373",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "05912464",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02987002",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Chasse, LA

Sources for this page

Verify at the official NPI Registry.