Robert M Debellevue, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

3109 Issued in LA

Practice address

200 W Esplanade Ave Ste 310
Kenner, LA 70065-2474

Phone

(504) 469-3434

Fax

(504) 469-1172

NPI assigned

Aug 22, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Dermatology

Education

Louisiana State University School of Medicine in New Orleans, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Robert M. Debellevue, MD a Professional Medical Corporation

  • Dermatology Physician
  • Kenner, LA
  • NPI 1649468653
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1245222595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE",
            "address_2": "STE 104",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652489",
            "telephone_number": "504-469-3434",
            "fax_number": "504-469-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE STE 310",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652474",
            "telephone_number": "504-469-3434",
            "fax_number": "504-469-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBELLEVUE",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "3109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1137162",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DDMS of Louisiana No 2, LLC
• DDMS of Louisiana No 2, LLC
• DDMS of Louisiana No 2, LLC
• DDMS of Louisiana No 2, LLC
• Deborah A De la Houssaye
• Derian Anthony Decoux
• Joshua Delcambre, PHARMD
• Regina D. Demas, PNP
• Susan M Demesia, APRN
• Daniel Raymond Denis, M.D., M.SC., FRCSC

• Dermatology Physician in Kenner, LA
• Providers in Kenner, LA by specialty
• Dermatology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.

Verify at the official NPI Registry.