Individual provider Active NPI

Ajsa Ana Sofija Nikolic, MD

  • Family Medicine Physician
  • New Orleans, LA
National Provider Identifier
1265487789
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
025945 Issued in LA
Practice address
900 Magazine St
New Orleans, LA 70130
Phone
(504) 388-5900
Fax
(504) 552-2433
NPI assigned
May 23, 2006
Last updated
Apr 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26220 MS
Family Medicine Physician 207Q00000X MD2018-0193 NM
Family Medicine Physician 207Q00000X ME90266 FL
Family Medicine Physician 207Q00000X 69498-20 WI
Family Medicine Physician 207Q00000X 036.139516 IL
Family Medicine Physician 207Q00000X 28930 NE
Family Medicine Physician 207Q00000X 025945 LA Primary

Addresses

Primary practice location

900 Magazine St
New Orleans, LA 70130

Mailing address

900 Magazine St
New Orleans, LA 70130-3814
Phone (504) 388-5900

Other practice location 1

4402 E Aloha Dr
Diamondhead, MS 39525-3349
Phone (228) 364-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041130000325 LA Practitioner - Family Practice 2466417647 Reassigns benefits to 2 organizations
I20230502000972 MS Practitioner - Family Practice 2466417647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians
Ochsner Mississippi, LLCGroup PAC ID 0143580993, 98 clinicians

Practice addresses (Care Compare)

2215 Veterans Memorial Blvd
Metairie, LA 70002-6322
Phone (504) 838-3524

4402 E Aloha Dr
Suite 16 Ochsner Urgent Care and Occupationa
Diamondhead, MS 39525-3305
Phone (228) 364-9001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME90266FLMDFamily Medicine Physician
036.139516ILMDFamily Medicine Physician
025945LAMDFamily Medicine Physician
28930NEMDFamily Medicine Physician
MD2018-0193NMMDFamily Medicine Physician
69498-20WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsu Health Sciences Center Shreveport Faculty Group Practice Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Ochsner Clinic LLC CurrentSince Oct 1, 2017 Accepting new patients
Ochsner Clinic LLC CurrentSince Oct 1, 2017 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Jan 26, 2023 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Mississippi, LLC Current Accepting new patients
Ochsner Mississippi, LLC CurrentSince Jan 26, 2023 Accepting new patients
Ochsner Clinic LLC PastSince Jan 21, 2022 Accepting new patients
Ochsner Clinic LLC PastSince Jun 15, 2025 Accepting new patients
Ochsner Clinic LLC PastSince Apr 24, 2022 Accepting new patients
East Jefferson After Hours, Metairie, LLC Past Accepting new patients
University Health Shreveport LLC Past Accepting new patients
Bol Medical L.L.C. PastSince Jan 1, 2005 Accepting new patients
Ochsner Clinic LLC PastSince Oct 17, 2021 Accepting new patients
Ochsner Clinic LLC PastSince Jun 21, 2022 Accepting new patients
East Jefferson After Hours, LLC Past Accepting new patients

Locations

2113 Airline Dr
Ste 100
Bossier City, LA 71111
Phone (318) 519-3088

1111 Greengate Dr
Ste B
Covington, LA 70433
Phone (985) 246-2420

5922 W Main St
Ste A
Houma, LA 70360
Phone (985) 262-8015

3417 Williams Blvd
Kenner, LA 70065
Phone (504) 461-9660

708 W Esplanade Ave
Kenner, LA 70065
Phone (504) 461-9660

12895 Highway 90
Ste H
Luling, LA 70070
Phone (985) 331-9400

2215 Veterans Memorial Blvd
Metairie, LA 70002
Phone (504) 838-3524

4864 Jackson St
Monroe, LA 71202
Phone (318) 330-7000

1514 Jefferson Hwy
New Orleans, LA 70121

201 Decatur St
New Orleans, LA 70130
Phone (504) 302-9670

4100 Canal St
New Orleans, LA 70119
Phone (504) 703-2750

4605 Magazine St
New Orleans, LA 70115
Phone (504) 883-8111

900 Magazine St
New Orleans, LA 70130
Phone (504) 309-0534

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

104 Acadia Park Dr
#9390
Raceland, LA 70394
Phone (225) 336-3100

9605 Jefferson Hwy
River Ridge, LA 70123
Phone (504) 738-1604

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

1641 E 70th St
Ste 300
Shreveport, LA 71105
Phone (318) 626-0037

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

318 N Canal Blvd
Thibodaux, LA 70301
Phone (985) 446-3276

207 Thomas Rd
West Monroe, LA 71291
Phone (318) 267-9777

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

4402 E Aloha Dr
Ste 16
Diamondhead, MS 39525
Phone (228) 364-9001

Interoperability endpoints

  • Direct secure messaging: anikolic491294@direct.ochsner.org

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1265487789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MAGAZINE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701303814",
            "telephone_number": "504-388-5900",
            "fax_number": "504-552-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAGAZINE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70130",
            "telephone_number": "504-388-5900",
            "fax_number": "504-552-2433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4402 E Aloha Dr",
            "address_purpose": "LOCATION",
            "city": "Diamondhead",
            "state": "MS",
            "postal_code": "395253349",
            "country_code": "US",
            "telephone_number": "228-364-9001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIKOLIC",
        "first_name": "AJSA",
        "middle_name": "ANA SOFIJA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "26220",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2018-0193",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME90266",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "69498-20",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.139516",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "28930",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "025945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.