Individual provider Active NPI

Mary Brookes Ezell, M.D.

  • Diagnostic Radiology Physician
  • New Orleans, LA
National Provider Identifier
1215105853
Registry record updated Feb 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD.201394 Issued in LA
Practice address
1430 Tulane Ave # SL-54
New Orleans, LA 70112-2632
Phone
(504) 988-2651
NPI assigned
Feb 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 201394 LA
Diagnostic Radiology Physician 2085R0202X MD.201394 LA Primary

Addresses

Primary practice location

1430 Tulane Ave # SL-54
New Orleans, LA 70112-2632

Mailing address

1118 Orange St Apt 1
New Orleans, LA 70130-4735
Phone (504) 610-4137

Other practice location 1

15790 Paul Vega Md Dr
Hammond, LA 70403-1436
Phone (985) 345-2700

Other identifiers 1

IdentifierTypeStateIssuer
201394OtherLALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 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
I20121114000278 LA Practitioner - Diagnostic RadiologyPractitioner - Radiation Oncology 1355592635 Reassigns benefits to 5 organizations
I20260602001185 MS Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 1355592635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Radiation Oncology
Education
Louisiana State University School of Medicine in New Orleans, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baton Rouge Radiology Group IncGroup PAC ID 8729076229, 39 clinicians

Practice addresses (Care Compare)

1415 Tulane Ave
New Orleans, LA 70112-2600

6015 Prytania St
New Orleans, LA 70118-6018
Phone (225) 769-6700

8585 Picardy Ave
Baton Rouge, LA 70809-3748
Phone (225) 448-2238

901 E Sunflower Rd
Cleveland, MS 38732-2833
Phone (662) 846-0061

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201394LAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Oct 8, 2012 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Mar 15, 2026 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Oct 8, 2012 Accepting new patients
Baton Rouge Radiology Group Inc Diagnostic Radiology CurrentSince Mar 5, 2026 Accepting new patients
North Oaks Medical Center, LLC Diagnostic Radiology CurrentSince Mar 15, 2026 Accepting new patients
Tulane University Medical Group Past Accepting new patients

Locations

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

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

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

4228 Houma Blvd
Ste 510
Metairie, LA 70006
Phone (504) 454-0141

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650

1415 Tulane Ave
Fl 2
New Orleans, LA 70112
Phone (504) 988-1200

1430 Tulane Ave
#54
New Orleans, LA 70112
Phone (504) 988-2651

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

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

901 E Sunflower Rd
Cleveland, MS 38732
Phone (662) 846-0061

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCFJBA

Organizations & group practices 8

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771632000000",
    "number": "1215105853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 ORANGE ST APT 1",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701304735",
            "telephone_number": "504-610-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE # SL-54",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-2651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15790 Paul Vega Md Dr",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031436",
            "country_code": "US",
            "telephone_number": "985-345-2700",
            "fax_number": "985-230-6652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EZELL",
        "first_name": "MARY",
        "middle_name": "BROOKES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-18",
        "last_updated": "2026-02-21",
        "certification_date": "2026-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "LA",
            "license": "201394",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "MD.201394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "201394",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.