Individual provider Active NPI

Marice Ruiz Conejo Castillo, MD

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1275027559
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
338814 Issued in LA
Practice address
1631 Elysian Fields Ave
New Orleans, LA 70117-8208
Phone
(504) 821-2601
Fax
(888) 736-9806
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 338814 LA Primary
Infectious Disease Physician 207RI0200X 338814 LA

Addresses

Primary practice location

1631 Elysian Fields Ave
New Orleans, LA 70117-8208

Mailing address

1631 Elysian Fields Ave
New Orleans, LA 70117-8208
Phone (504) 821-2601

Other practice location 1

2515 Canal St
New Orleans, LA 70119-6435
Phone (504) 821-2601

Other identifiers 1

IdentifierTypeStateIssuer
2630059MedicaidLA

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
I20231009000987 LA Practitioner - Infectious DiseasePractitioner - Internal Medicine 8426448424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1631 Elysian Fields Ave
Crescentcare St Roch
New Orleans, LA 70117-8208
Phone (504) 821-2601

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
No AIDS Task Force CurrentSince Sep 18, 2023 Accepting new patients
No AIDS Task Force CurrentSince Sep 18, 2023 Accepting new patients

Locations

2515 Canal St
New Orleans, LA 70119
Phone (504) 821-2601

1631 Elysian Fields Ave
New Orleans, LA 70117
Phone (504) 821-2601

3308 Tulane Ave
New Orleans, LA 70119
Phone (504) 207-2273

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1275027559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 ELYSIAN FIELDS AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701178208",
            "telephone_number": "504-821-2601",
            "fax_number": "888-736-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 ELYSIAN FIELDS AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701178208",
            "telephone_number": "504-821-2601",
            "fax_number": "888-736-9806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2515 Canal St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701196435",
            "country_code": "US",
            "telephone_number": "504-821-2601",
            "fax_number": "888-736-9806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ CONEJO CASTILLO",
        "first_name": "MARICE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "338814",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "LA",
            "license": "338814",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2630059",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.