Active NPI
Philip G Kogos, MD
- Diagnostic Radiology Physician
- Marrero, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- TL28763
- Practice address
- 1101 Medical Center Blvd
Radiology Dept
Marrero, LA 70072-3147 - Phone
- (504) 349-1461
- Fax
- (504) 349-1470
- NPI assigned
- Jul 2, 2006
- Last updated
- Oct 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | TL28763 | SC | Primary |
Addresses
Primary practice location
1101 Medical Center Blvd
Radiology Dept
Marrero, LA 70072-3147
Mailing address
1111 Medical Center Blvd
Suite N-108
Marrero, LA 70072-3151
Phone (504) 349-1461
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287638 | Medicaid | SC | |
| 03930313 | Medicaid | MS | |
| 1197378 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Louisiana State University School of Medicine in New Orleans, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Medical Ctr Blvd
Marrero, LA 70072-3191
Phone (504) 349-1461
Hospital & facility affiliations
- West Jefferson Medical Center
- East Jefferson General Hospital
- New Orleans East Hospital
- Ochsner Medical Center Acute
- North Oaks Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TL28763 | SC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Radiology Associates, Inc | Diagnostic Radiology | Current | Accepting new patients |
| West Jefferson MRI, LLC | Current | Accepting new patients | |
| Westcare Medical Center, Inc | Current | Accepting new patients | |
| West Jefferson MRI, LLC | Current | Accepting new patients |
Locations
1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511
1111 Medical Center Blvd
Ste N108
Marrero, LA 70072
Phone (504) 349-1461
1111 Medical Center Blvd
Ste N110
Marrero, LA 70072
Phone (504) 349-6191
1220 Barataria Blvd
Marrero, LA 70072
Phone (504) 340-6711
4525 Westbank Expy
Ste B
Marrero, LA 70072
Phone (504) 349-6570
2121 Ridgelake Dr
Metairie, LA 70001
Phone (504) 258-3992
4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028
5620 Read Blvd
New Orleans, LA 70127
Phone (504) 241-2664
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GABFAD
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Marrero, LA
- NPI 1366490849
-
- Clinic/Center
- Marrero, LA
- NPI 1558321943
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obstetrics & Gynecology Physician
- New Orleans, LA
- NPI 1417446501
Hospital
-
- Rural Acute Care Hospital
- Hammond, LA
- NPI 1144227539
-
dba Ochsner Medical Center Acute
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
dba New Orleans East Hospital
- General Acute Care Hospital
- New Orleans, LA
- NPI 1225450588
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
dba East Jefferson General Hospital
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
dba Lakeview Regional Behavioral Health
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
-
dba West Jefferson Medical Center
- General Acute Care Hospital
- Marrero, LA
- NPI 1265437644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223510400000",
"number": "1205865037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 MEDICAL CENTER BLVD",
"address_2": "SUITE N-108",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723151",
"telephone_number": "504-349-1461",
"fax_number": "504-349-1470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MEDICAL CENTER BLVD",
"address_2": "RADIOLOGY DEPT",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723147",
"telephone_number": "504-349-1461",
"fax_number": "504-349-1470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOGOS",
"first_name": "PHILIP",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-02",
"last_updated": "2008-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "TL28763",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "287638",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03930313",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1197378",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.