Organization Active NPI

A-1 Internal Medicine LLC

  • Internal Medicine Physician
  • Mandeville, LA
National Provider Identifier
1265845069
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD204287 Issued in LA
Legal business name
A-1 INTERNAL MEDICINE LLC
Practice address
533 Carroll St
Mandeville, LA 70448-5108
Phone
(985) 373-0058
NPI assigned
Jun 9, 2014
Last updated
Oct 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Authorized official

Name
Andrew Michael Baier, M.D.NPI 1598906562
Title
Manager
Phone
(985) 373-0058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD204287 LA Primary

Addresses

Primary practice location

533 Carroll St
Mandeville, LA 70448-5108

Mailing address

533 Carroll St
Mandeville, LA 70448-5108
Phone (985) 373-0058

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141106001692 LA Part B Supplier - Clinic/Group Practice 1850513862 Receives reassigned benefits from 1 practitioner
Practice locations: Covington, LA; Mandeville, LA; Lacombe, LA

National Provider Directory

National Provider Directory

Locations

195 Highland Park Plz
Covington, LA 70433
Phone (985) 867-3930

Practitioners & affiliated clinicians

Practitioners 1

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": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1265845069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 CARROLL ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704485108",
            "telephone_number": "985-373-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 CARROLL ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704485108",
            "telephone_number": "985-373-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A-1 INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "BAIER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "985-373-0058",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD204287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.