Individual provider Active NPI

Brian J Naccari, MD

  • Internal Medicine Physician
  • Metairie, LA
National Provider Identifier
1306805601
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
019111 Issued in LA
Practice address
4224 Houma Blvd
Ste. 600
Metairie, LA 70006-2933
Phone
(504) 503-6025
Fax
(504) 503-5201
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 019111 LA Primary

Addresses

Primary practice location

4224 Houma Blvd
Ste. 600
Metairie, LA 70006-2933

Mailing address

4315 Houma Blvd
Ste 500
Metairie, LA 70006-2942
Phone (504) 456-3845

Other identifiers 1

IdentifierTypeStateIssuer
1368610MedicaidLA

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
I20040920000277 LA Practitioner - Internal Medicine 7618945536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Jefferson Physicians Group LLCGroup PAC ID 4587660402, 211 clinicians

Practice addresses (Care Compare)

4315 Houma Blvd
Suite 500
Metairie, LA 70006-2942
Phone (504) 889-5250

Hospital & facility affiliations

  • Southeast Louisiana Home Health, LLC Home health agency, Covington, LA, CCN 197023
  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019111LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC Internal Medicine CurrentSince Aug 1, 2008 Accepting new patients

Locations

4228 Houma Blvd
Ste 310
Metairie, LA 70006
Phone (504) 454-2222

4224 Houma Blvd
Ste 600
Metairie, LA 70006
Phone (504) 454-0755

4300 Houma Blvd
Ste 202
Metairie, LA 70006
Phone (504) 503-6791

4315 Houma Blvd
Ste 500
Metairie, LA 70006
Phone (504) 889-5250

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

4224 Houma Blvd
Ste 520
Metairie, LA 70006
Phone (504) 885-4003

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

Interoperability endpoints

  • Direct secure messaging: brian.naccari@direct.ejgh.org

Organizations & group practices 1

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 5

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1306805601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 HOUMA BLVD",
            "address_2": "STE 500",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062942",
            "telephone_number": "504-456-3845",
            "fax_number": "504-503-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 HOUMA BLVD",
            "address_2": "STE. 600",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062933",
            "telephone_number": "504-503-6025",
            "fax_number": "504-503-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACCARI",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "019111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1368610",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.