Individual provider Active NPI

Judd Ernest Shellito, MD

  • Pulmonary Disease Physician
  • New Orleans, LA
National Provider Identifier
1215959226
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
012834 Issued in LA
Practice address
2820 Napoleon Ave
Suite 890
New Orleans, LA 70115-6969
Phone
(504) 412-1366
Fax
(504) 412-1367
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 012834 LA Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 012834 LA
Internal Medicine Physician 207R00000X 012834 LA

Addresses

Primary practice location

2820 Napoleon Ave
Suite 890
New Orleans, LA 70115-6969

Mailing address

1340 Poydras St
Suite 1640
New Orleans, LA 70112-1221
Phone (504) 412-1835

Other identifiers 1

IdentifierTypeStateIssuer
1394441MedicaidLA

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
I20061019000510 LA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0345246070 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012834LAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Mar 1, 2015 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G Current Accepting new patients
Ochsner Clinic LLC Internal Medicine CurrentSince Mar 1, 2015 Accepting new patients
Lsu Medical Center Past Accepting new patients

Locations

5825 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-1000

2021 Perdido St
New Orleans, LA 70112
Phone (504) 412-1800

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

478 S Johnson St
Fl 6
New Orleans, LA 70112
Phone (504) 412-1819

1514 Jefferson Hwy
New Orleans, LA 70121

2820 Napoleon Ave
Ste 890
New Orleans, LA 70115
Phone (504) 412-1366

1340 Poydras St
Ste 1640
New Orleans, LA 70112
Phone (504) 412-1835

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

1900 Gravier St
New Orleans, LA 70112
Phone (504) 568-4106

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

104 Acadia Park Dr
#9390
Raceland, LA 70394
Phone (225) 336-3100

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1215959226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 POYDRAS ST",
            "address_2": "SUITE 1640",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121221",
            "telephone_number": "504-412-1835",
            "fax_number": "504-412-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 NAPOLEON AVE",
            "address_2": "SUITE 890",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701156969",
            "telephone_number": "504-412-1366",
            "fax_number": "504-412-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLITO",
        "first_name": "JUDD",
        "middle_name": "ERNEST",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "012834",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "LA",
            "license": "012834",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "012834",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1394441",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.