Individual provider Active NPI

Andrea Tesvich Murina, M.D.

  • Clinical & Laboratory Dermatological Immunology Physician
  • New Orleans, LA
National Provider Identifier
1295994218
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Dermatological Immunology PhysicianTaxonomy code 207NI0002X
License
MD202960 Issued in LA
Practice address
1430 Tulane Ave # 8036
New Orleans, LA 70112-2632
Phone
(504) 988-5114
Fax
(504) 988-7328
NPI assigned
Jun 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X MD202960 LA Primary

Addresses

Primary practice location

1430 Tulane Ave # 8036
New Orleans, LA 70112-2632

Mailing address

144 Planters Canal Rd
Belle Chasse, LA 70037-1230
Phone (504) 392-7225

Other identifiers 1

IdentifierTypeStateIssuer
1098051MedicaidLA

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
I20120807000806 LA Practitioner - Dermatology 0749436764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in New Orleans, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Administrators of the Tulane Educational FundGroup PAC ID 0446163760, shared by 3 NPIs, 388 clinicians

Practice addresses (Care Compare)

1415 Tulane Ave
New Orleans, LA 70112-2600

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 988-5224

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions192
Skin biopsy61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD202960LAMDClinical & Laboratory Dermatological Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Jul 1, 2012 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jul 1, 2012 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jul 1, 2012 Accepting new patients

Locations

71211 Highway 21
Ste B
Covington, LA 70433
Phone (985) 893-9922

101 Judge Tanner Blvd
Ste 406
Covington, LA 70433
Phone (985) 892-9143

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

4720 S I 10 Service Rd W
Ste 201
Metairie, LA 70001
Phone (504) 455-1107

1430 Tulane Ave
#8036
New Orleans, LA 70112
Phone (504) 256-9619

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

1430 Tulane Ave
#T
New Orleans, LA 70112

2000 Canal St
Fl Fourth
New Orleans, LA 70112

Organizations & group practices 3

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 6

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1295994218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 PLANTERS CANAL RD",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700371230",
            "telephone_number": "504-392-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE # 8036",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-5114",
            "fax_number": "504-988-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURINA",
        "first_name": "ANDREA",
        "middle_name": "TESVICH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "LA",
            "license": "MD202960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1098051",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.