Individual provider Active NPI

Philip Jordan Putnam, M.D.

  • Hospitalist Physician
  • New Orleans, LA
National Provider Identifier
1255575494
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD.206175 Issued in LA
Practice address
1430 Tulane Ave
SL-16
New Orleans, LA 70112-2632
Phone
(504) 988-7518
NPI assigned
Apr 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 30500 AL
Internal Medicine Physician 207R00000X MD.206175 LA
Hospitalist Physician 208M00000X MD.206175 LA Primary

Addresses

Primary practice location

1430 Tulane Ave
SL-16
New Orleans, LA 70112-2632

Mailing address

1430 Tulane Ave
SL-16
New Orleans, LA 70112-2632
Phone (504) 988-7518

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
I20130827000535 LA Practitioner - HospitalistPractitioner - Internal Medicine 3173789245 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Alabama School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4200 Houma Blvd
FL 6
Metairie, LA 70006-2970
Phone (504) 503-4331

Hospital & facility affiliations

  • Omni Home Care Home health agency, Mandeville, LA, CCN 197097
  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • East Jefferson General Hospital - SNF Nursing home, Metairie, LA, CCN 195199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30500ALMDInternal Medicine Physician
MD.206175LAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC Internal Medicine CurrentSince Sep 26, 2021 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jul 1, 2013 Accepting new patients
Coolidge Physician Services LLC Hospitalist CurrentSince Jul 2, 2014 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jul 1, 2013 Accepting new patients
University Healthcare System, L.C. Past Accepting new patients

Locations

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

4300 Houma Blvd
Ste 202
Metairie, LA 70006
Phone (504) 503-6791

4200 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4331

4224 Houma Blvd
Ste 520
Metairie, LA 70006
Phone (504) 885-4003

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

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

1430 Tulane Ave
#16
New Orleans, LA 70112
Phone (504) 988-1940

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1255575494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE",
            "address_2": "SL-16",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE",
            "address_2": "SL-16",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "PHILIP",
        "middle_name": "JORDAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-30",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "30500",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.206175",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "MD.206175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.