Individual provider Active NPI

Charles W Krieger Jr., MD

  • Orthopaedic Surgery Physician
  • Slidell, LA
National Provider Identifier
1295781383
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
010738 Issued in LA
Practice address
1051 Gause Blvd
Suite 230
Slidell, LA 70458
Phone
(985) 280-3664
Fax
(985) 280-3683
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 010738 LA Primary

Addresses

Primary practice location

1051 Gause Blvd
Suite 230
Slidell, LA 70458

Mailing address

1051 Gause Blvd Ste 230
Slidell, LA 70458-2993
Phone (985) 280-3664

Other identifiers 4

IdentifierTypeStateIssuer
1801020433OtherLANPI SMH PHYSICIAN NETWORK
173209500OtherLAACS, DEPT. OF LABOR
4120027OtherLAAETNA
720778314OtherLATRICARE

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
I20080417000507 LA Practitioner - Orthopedic Surgery 9032297965 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010738LAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent City Orthopedics LLC Orthopaedic Surgery CurrentSince Jul 1, 2019 Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 14, 2020 Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 14, 2020 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
A. Jay Binder, M.D., a Medical Corporation PastSince Jul 1, 2019 Accepting new patients
Slidell Memorial Hospital Past Accepting new patients
Gulf Coast Rheumatology PastSince Jul 14, 2011 Accepting new patients

Locations

16777 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 754-3278

3434 Houma Blvd
Ste 301
Metairie, LA 70006
Phone (504) 309-6500

3600 Houma Blvd
Metairie, LA 70006
Phone (504) 309-6500

1514 Jefferson Hwy
New Orleans, LA 70121

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

1051 Gause Blvd
Ste 440
Slidell, LA 70458
Phone (985) 280-6770

1051 Gause Blvd
Ste 230
Slidell, LA 70458
Phone (985) 280-9855

1150 Robert Blvd
Ste 190
Slidell, LA 70458
Phone (985) 646-4415

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDBCBD

Organizations & group practices 7

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1295781383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 GAUSE BLVD STE 230",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582993",
            "telephone_number": "985-280-3664",
            "fax_number": "985-280-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 GAUSE BLVD",
            "address_2": "SUITE 230",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70458",
            "telephone_number": "985-280-3664",
            "fax_number": "985-280-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEGER",
        "first_name": "CHARLES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "010738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI SMH PHYSICIAN NETWORK",
            "identifier": "1801020433",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS, DEPT. OF LABOR",
            "identifier": "173209500",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4120027",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "720778314",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.