Individual provider Active NPI

Andrea Kelly O'Leary, MD

  • Pediatrics Physician
  • New Orleans, LA
National Provider Identifier
1225259732
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
200767 Issued in LA
Practice address
Tulane University Department of Child Adol Psychiatry
1440 Canal Street TB52
New Orleans, LA 70112-0000
Phone
(504) 988-7829
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 200767 LA
Pediatrics Physician 208000000X 200767 LA Primary

Addresses

Primary practice location

Tulane University Department of Child Adol Psychiatry
1440 Canal Street TB52
New Orleans, LA 70112-0000

Mailing address

3924 Annunciation Street
New Orleans, LA 70115
Phone (504) 899-0189

Other practice location 1

4105 Kirkman St
Lake Charles, LA 70607-4603
Phone (337) 475-3100

Other identifiers 1

IdentifierTypeStateIssuer
1070556MedicaidLA

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
I20140514001016 LA Practitioner - Psychiatry 3870716111 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200767LAMDPediatrics Physician

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6546/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1225259732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 ANNUNCIATION STREET",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70115",
            "telephone_number": "504-899-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TULANE UNIVERSITY DEPARTMENT OF CHILD ADOL PSYCHIATRY",
            "address_2": "1440 CANAL STREET TB52",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701120000",
            "telephone_number": "504-988-7829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4105 Kirkman St",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706074603",
            "country_code": "US",
            "telephone_number": "337-475-3100",
            "fax_number": "337-475-3105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "ANDREA",
        "middle_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "LA",
            "license": "200767",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "200767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1070556",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.