Individual provider Active NPI

Robert Emmett Reily

  • Trauma Surgery Physician
  • New Orleans, LA
National Provider Identifier
1205255353
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
322143 Issued in LA
Practice address
1017 Broadway St
New Orleans, LA 70118-5240
Phone
(404) 401-0942
NPI assigned
Apr 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Trauma Surgery Physician 2086S0127X 322143 LA Primary

Addresses

Primary practice location

1017 Broadway St
New Orleans, LA 70118-5240

Mailing address

7777 Hennessy Blvd Ste 102
Baton Rouge, LA 70808-4363
Phone (225) 765-2048

Other practice location 1

7777 Hennessy Blvd Ste 102
Baton Rouge, LA 70808-4363
Phone (225) 765-2048

Other practice location 2

15770 Paul Vega Md Dr Ste 108A
Hammond, LA 70403-1475
Phone (985) 230-1870

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rreily534928@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200716003078 LA Practitioner - General Surgery 6800228099 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Tulane University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Administrators of the Tulane Educational FundGroup PAC ID 0446163760, 388 clinicians

Practice addresses (Care Compare)

1415 Tulane Ave
FL 6
New Orleans, LA 70112-2600
Phone (504) 988-5110

Hospital & facility affiliations

  • University Medical Center New Orleans Hospital, New Orleans, LA, CCN 190005
  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • St Mary Medical Center Hospital, Langhorne, PA, CCN 390258

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
322143LAMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Aug 1, 2020 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Aug 1, 2020 Accepting new patients
North Oaks Physician Group, LLC CurrentSince Jan 24, 2024 Accepting new patients
Our Lady of the Lake Physician Group LLC Surgery Current Accepting new patients
North Oaks Physician Group, LLC CurrentSince Jan 24, 2024 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Jan 16, 2023 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Jan 16, 2023 Accepting new patients
University Medical Center Management Corporation Past Accepting new patients
Our Lady of the Lake Hospital Inc. Past Accepting new patients

Locations

7777 Hennessy Blvd
Ste 102
Baton Rouge, LA 70808
Phone (225) 214-4300

15770 Paul Vega Md Dr
Ste 108A
Hammond, LA 70403
Phone (985) 230-1870

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

15813 Paul Vega Md Dr
Ste 200
Hammond, LA 70403
Phone (985) 230-7650

15770 Paul Vega Md Dr
Ste 108B
Hammond, LA 70403
Phone (985) 230-2778

15770 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-7860

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

1430 Tulane Ave
#8622
New Orleans, LA 70112
Phone (504) 988-2306

2000 Canal St
Fl 5
New Orleans, LA 70112
Phone (504) 702-4333

1415 Tulane Ave
Fl 6
New Orleans, LA 70112
Phone (504) 988-5110

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

2000 Canal St
#5
New Orleans, LA 70112

Interoperability endpoints

  • FHIR API: https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: rreily534928@direct.casso.us.com

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1205255353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD STE 102",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084363",
            "telephone_number": "225-765-2048",
            "fax_number": "225-765-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 BROADWAY ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185240",
            "telephone_number": "404-401-0942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7777 Hennessy Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708084363",
            "country_code": "US",
            "telephone_number": "225-765-2048",
            "fax_number": "225-765-1958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15770 Paul Vega Md Dr Ste 108A",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031475",
            "country_code": "US",
            "telephone_number": "985-230-1870",
            "fax_number": "985-230-7461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REILY",
        "first_name": "ROBERT",
        "middle_name": "EMMETT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "LA",
            "license": "322143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rreily534928@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "rreily534928@direct.casso.us.com",
            "address_1": "7777 Hennessy Blvd Ste 102",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708084363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "7777 Hennessy Blvd Ste 102",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708084363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.