NPIMap

Organization Active NPI

Ochsner Clinic, LLC

Doing business as Ochsner St. Tammany Cancer Center

  • Internal Medicine Physician
  • Covington, LA
National Provider Identifier
1245825371
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OCHSNER CLINIC, LLC
Doing business as
Ochsner St. Tammany Cancer Center
Practice address
900 Ochsner Blvd
Covington, LA 70433-8275
Phone
(985) 249-2383
Fax
(985) 249-2384
NPI assigned
Mar 1, 2021
Last updated
Mar 1, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
OCHSNER CLINIC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Eduardo Benitez
Title
Director
Phone
(504) 430-0025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

900 Ochsner Blvd
Covington, LA 70433-8275

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other names 1

  • Ochsner St. Tammany Cancer Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031126000513 LA Part B Supplier - Clinic/Group Practice 8224933619 Receives reassigned benefits from 4,981 practitioners
This NPI is an additional NPI on the enrollment

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2220275St Tammany Cancer Center900 Ochsner Blvd, Covington, LA 70433Certificate of waiverOct 5, 2027
19D2220276Ochsner St Tammany Cancer Center Laboratory900 Ochsner Blvd, Covington, LA 70433AccreditationFeb 28, 2027

National Provider Directory

National Provider Directory
Tax ID family
Ochsner Medical Clinic222 organizations share this tax ID, including this one
Part of
Ochsner Medical Clinic

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1245825371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 OCHSNER BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338275",
            "telephone_number": "985-249-2383",
            "fax_number": "985-249-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCHSNER CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OCHSNER CLINIC, LLC",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "504-430-0025"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ochsner St. Tammany Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.