Individual provider Active NPI

Donald D Doussan, MD

  • Anesthesiology Physician
  • Madisonville, LA
National Provider Identifier
1225075641
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
016184 Issued in LA
Practice address
102 Bayou Perez Dr
Madisonville, LA 70447-9799
Phone
(504) 568-2318
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Louisiana State University School of Medicine in New Orleans, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zephyr Anesthesia LLC 161 clinicians

Practice addresses (Care Compare)

694 Belle Terre Blvd
La Place, LA 70068-1620
Phone (985) 359-6694

Hospital & facility affiliations

  • St Bernard Parish Hospital Hospital, Chalmette, LA, CCN 190308

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
I20040120000069 LA Practitioner - Anesthesiology 3971404260 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16184LAMDClinical Social Worker
016184LAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zephyr Anesthesia, LLC Anesthesiology CurrentSince Apr 1, 2023 Accepting new patients
Sunnyside Pediatrics LLC Past Accepting new patients
Crescent City Anesthesia Services, LLC Past Accepting new patients
Southern Pain & Anesthesia Consultants, LLC Past Accepting new patients

Locations

323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600

8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078

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

694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694

1645 Lutcher Ave
Lutcher, LA 70071
Phone (225) 258-5901

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

2701 Napoleon Ave
New Orleans, LA 70115
Phone (504) 267-2805

1717 Saint Charles Ave
New Orleans, LA 70130
Phone (504) 529-6600

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

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 016184 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

102 Bayou Perez Dr
Madisonville, LA 70447-9799

Mailing address

102 Bayou Perez Dr
Madisonville, LA 70447-9799
Phone (504) 568-2318

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
02176541MedicaidMS
1339369MedicaidLA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 11, 2008.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1225075641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BAYOU PEREZ DR",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704479799",
            "telephone_number": "504-568-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BAYOU PEREZ DR",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704479799",
            "telephone_number": "504-568-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUSSAN",
        "first_name": "DONALD",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "016184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02176541",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1339369",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, LA

Sources for this page

Verify at the official NPI Registry.