Individual provider Active NPI

Susana Laura Dipp, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Metairie, LA
National Provider Identifier
1265489603
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD.202054 Issued in LA
Practice address
1804 Persimmon Ave
Metairie, LA 70001-2345
Phone
(617) 780-8979
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD.202054 LA Primary

Addresses

Primary practice location

1804 Persimmon Ave
Metairie, LA 70001-2345

Mailing address

1804 Persimmon Ave
Metairie, LA 70001-2345
Phone (617) 780-8979

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
I20080807000272 LA Practitioner - EndocrinologyPractitioner - Internal Medicine 5496724189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Ponce School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Dr
Slidell, LA 70461-5520
Phone (985) 646-5055

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000

1516 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3470

2005 Veterans Memorial Blvd
Metairie, LA 70002-6320
Phone (504) 836-9820

4430 Veterans Memorial Blvd
Metairie, LA 70006-5329
Phone (504) 433-7203

71380 Hwy 21
Covington, LA 70433-7245
Phone (985) 661-3534

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.202054LAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 1, 2008 Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 1, 2008 Accepting new patients
Fairfield County Medical Services Inc Past Accepting new patients

Locations

2005 Veterans Memorial Blvd
Metairie, LA 70002
Phone (504) 836-9820

1514 Jefferson Hwy
New Orleans, LA 70121

Interoperability endpoints

  • Direct secure messaging: sdipp12562@direct.ochsner.org

Organizations & group practices 4

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 5

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1265489603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 PERSIMMON AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012345",
            "telephone_number": "617-780-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 PERSIMMON AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012345",
            "telephone_number": "617-780-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPP",
        "first_name": "SUSANA",
        "middle_name": "LAURA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "LA",
            "license": "MD.202054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.