Individual provider Active NPI

Jerry Simbarashe Zifodya, M.D., M.P.H.

  • Pulmonary Disease Physician
  • New Orleans, LA
National Provider Identifier
1306280102
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
321061 Issued in LA
Practice address
1415 Tulane Ave
New Orleans, LA 70112
Phone
(504) 988-5263
NPI assigned
Apr 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 321061 LA
Pulmonary Disease Physician 207RP1001X 321061 LA Primary

Addresses

Primary practice location

1415 Tulane Ave
New Orleans, LA 70112

Mailing address

1430 Tulane Ave # 8509
New Orleans, LA 70112-2632
Phone (504) 988-3541

Other practice location 1

1211 Medical Center Dr
Nashville, TN 37232-0004
Phone (615) 322-2036

Other practice location 2

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000

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
I20191122000910 LA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7012210602 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Tulane University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Administrators of the Tulane Educational FundGroup PAC ID 0446163760, 388 clinicians

Practice addresses (Care Compare)

1415 Tulane Ave
New Orleans, LA 70112-2600
Phone (504) 988-5800

Hospital & facility affiliations

  • University Medical Center New Orleans Hospital, New Orleans, LA, CCN 190005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
321061LAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Department of Health - Office of Public Health CurrentSince Oct 15, 2023 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Nov 1, 2019 Accepting new patients
Louisiana Department of Health - Office of Public Health Current Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Nov 1, 2019 Accepting new patients
University Medical Center Management Corporation Past Accepting new patients

Locations (25 of 60)

2501 Charity St
Abbeville, LA 70510
Phone (337) 893-1443

5604 Coliseum Blvd
Ste A
Alexandria, LA 71303
Phone (318) 487-5282

330 W Oak St
Amite, LA 70422
Phone (985) 748-2020

1285 Pine St
Arcadia, LA 71001

650 School St
Bastrop, LA 71220
Phone (318) 283-0806

353 N 12th St
Baton Rouge, LA 70802
Phone (225) 242-4890

626 Carolina Ave
Bogalusa, LA 70427
Phone (985) 732-6615

3022 Old Minden Rd
Bossier City, LA 71112
Phone (318) 741-7314

406 Walnut St
Bunkie, LA 71322
Phone (318) 346-2586

107 Recreation Ctr LN
Cameron, LA 70631

340A Webb Smith Dr
Colfax, LA 71417
Phone (318) 627-3133

501 Collins Rd
Columbia, LA 71418
Phone (318) 649-2393

1029 Capitol Ave
Crowley, LA 70526
Phone (337) 788-7507

133 W 112th St
Cut Off, LA 70345
Phone (985) 632-5567

216 Evangeline St
Deridder, LA 70634
Phone (337) 463-4486

1002 Marion Hwy
Farmerville, LA 71241
Phone (318) 368-3156

905 Mickey Gilley Ave
Ferriday, LA 71334
Phone (318) 757-6271

120 11th Ave
Franklinton, LA 70438
Phone (985) 839-5646

15481 W Club Deluxe Rd
Hammond, LA 70403
Phone (985) 543-4165

624 W Main St
Homer, LA 71040
Phone (318) 927-6127

600 Polk St
Houma, LA 70360
Phone (985) 857-3601

1673 N Second St
Jena, LA 71342
Phone (318) 992-4842

403 Baker St
Jennings, LA 70546
Phone (337) 824-2193

228 Bond St
Jonesboro, LA 71251
Phone (318) 259-6601

200 Third St
Jonesville, LA 71343
Phone (318) 339-8352

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.

Hospital & facility affiliations 1

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": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1306280102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE # 8509",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-3541",
            "fax_number": "504-988-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 TULANE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70112",
            "telephone_number": "504-988-5263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372320004",
            "country_code": "US",
            "telephone_number": "615-322-2036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Canal St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701123018",
            "country_code": "US",
            "telephone_number": "504-702-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIFODYA",
        "first_name": "JERRY",
        "middle_name": "SIMBARASHE",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-23",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "LA",
            "license": "321061",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "321061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.