Individual provider Active NPI

James Scott Krulisky, M.D.

  • Pediatric Cardiology Physician
  • New Orleans, LA
National Provider Identifier
1285866947
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
207779 Issued in LA
Practice address
200 Henry Clay Ave
New Orleans, LA 70118
Phone
(504) 896-9751
Fax
(504) 896-3952
NPI assigned
Aug 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 207779 LA Primary

Addresses

Primary practice location

200 Henry Clay Ave
New Orleans, LA 70118

Mailing address

200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (504) 896-9751

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
I20180524002826 LA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 6406095678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pediatric Medicine
Education
Albany Medical College of Union University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (504) 412-1860

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207779LAMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thibodaux Regional Network Development Corporation Current Accepting new patients
Louisiana State University School of Med in New Orleans Faculty Grou CurrentSince Jun 1, 2018 Accepting new patients
Thibodaux Regional Network Development Corporation CurrentSince Aug 5, 2020 Accepting new patients
Thibodaux Regional Network Development Corporation Pediatric Cardiology CurrentSince Aug 5, 2020 Accepting new patients
Lsuhsc New Orleans Physicians Past Accepting new patients

Locations

5025 Keystone Blvd
Covington, LA 70433
Phone (806) 535-3781

2121 Ridgelake Dr
Fl 2
Metairie, LA 70001
Phone (504) 832-4033

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

604 N Acadia Rd
Ste 409
Thibodaux, LA 70301
Phone (985) 446-9785

602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544

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.

NPI Registry JSON

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1285866947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HENRY CLAY AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185720",
            "telephone_number": "504-896-9751",
            "fax_number": "504-896-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HENRY CLAY AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70118",
            "telephone_number": "504-896-9751",
            "fax_number": "504-896-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRULISKY",
        "first_name": "JAMES",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-14",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "LA",
            "license": "207779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.