Active NPI
Omega Hospital LLC
- Physical Therapist
- Metairie, LA
National Provider Identifier
1194910380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- OMEGA HOSPITAL LLC
- Practice address
- 2525 Severn Ave
Metairie, LA 70002-5932 - Phone
- (504) 836-8150
- Fax
- (504) 378-5121
- NPI assigned
- Sep 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Celeste C Bourgeois
- Title
- Exec Admin Asst
- Phone
- (504) 218-4749
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Anesthesiology Physician | 207L00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Diagnostic Ultrasound Physician | 2085U0001X | |||
| Physical Therapist | 225100000X | Primary | ||
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
Primary practice location
2525 Severn Ave
Metairie, LA 70002-5932
Mailing address
2525 Severn Ave
Metairie, LA 70002-5932
Phone (504) 836-8150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260331003561 | LA | Part B Supplier - Clinic/Group Practice | 0042407017 |
Receives reassigned benefits from 4 practitioners Practice locations: Metairie, LA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Omega Hospital LLC
- Part of
- Omega Hospital LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Metairie, LA
- NPI 1992720791
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/omeghsp-548270d1
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Metairie, LA
- NPI 1669403242
-
- Anesthesiology Physician
- Metairie, LA
- NPI 1306878087
-
- Certified Registered Nurse Anesthetist
- Metairie, LA
- NPI 1245263011
-
- Certified Registered Nurse Anesthetist
- New Orleans, LA
- NPI 1023495488
-
- Registered Nurse First Assistant
- Metairie, LA
- NPI 1760930259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770163200000",
"number": "1194910380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 SEVERN AVE",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700025932",
"telephone_number": "504-836-8150",
"fax_number": "504-378-5121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 SEVERN AVE",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700025932",
"telephone_number": "504-836-8150",
"fax_number": "504-378-5121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMEGA HOSPITAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-11",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A",
"authorized_official_last_name": "BOURGEOIS",
"authorized_official_first_name": "CELESTE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "EXEC ADMIN ASST",
"authorized_official_telephone_number": "504-218-4749"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.