Individual provider Active NPI

Justin Lundgren, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Metairie, LA
National Provider Identifier
1316019672
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
025468 Issued in LA
Practice address
3798 Veterans Memorial Blvd Ste 200
Metairie, LA 70002-5837
Phone
(504) 454-0141
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 025468 LA Primary

Addresses

Primary practice location

3798 Veterans Memorial Blvd Ste 200
Metairie, LA 70002-5837

Mailing address

PO Box 952346
Atlanta, GA 31192-2346
Phone (504) 889-7200

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
I20040406000782 LA Practitioner - Physical Medicine and Rehabilitation 0143213173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Louisiana State University School of Medicine in New Orleans, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Brain and SpineGroup PAC ID 6507867082, 10 clinicians
Hand Surgical Associates LTDGroup PAC ID 1557269719, 7 clinicians

Practice addresses (Care Compare)

3798 Veterans Memorial Blvd
FL 2
Metairie, LA 70002-5837
Phone 50445401411185

4228 Houma Blvd
Suite 600B
Metairie, LA 70006-3023
Phone (504) 454-2191

Hospital & facility affiliations

  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • Touro Infirmary Hospital, New Orleans, LA, CCN 190046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025468LAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Brain and Spine CurrentSince Dec 1, 2006 Accepting new patients
Hand Surgical Associates LTD CurrentSince Nov 5, 2021 Accepting new patients

Locations

3798 Veterans Memorial Blvd
Ste 200
Metairie, LA 70002
Phone (504) 454-0141

3798 Veterans Memorial Blvd
#200
Metairie, LA 70002

4228 Houma Blvd
Ste 510
Metairie, LA 70006
Phone (504) 454-0141

4228 Houma Blvd
Ste 600B
Metairie, LA 70006
Phone (504) 454-2191

3798 Veterans Memorial Blvd
Fl 2
Metairie, LA 70002
Phone 50445401411114

3601 Houma Blvd
Ste 400
Metairie, LA 70006
Phone (504) 889-7200

3798 Veterans Memorial Blvd
Fl Second
Metairie, LA 70002

Interoperability endpoints

  • Direct secure messaging: justin.lundgren.1@30738.direct.athenahealth.com
  • Direct secure messaging: justinl@sbs1823.srs-direct.com

Organizations & group practices 2

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1316019672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 952346",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311922346",
            "telephone_number": "504-889-7200",
            "fax_number": "504-889-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3798 VETERANS MEMORIAL BLVD STE 200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025837",
            "telephone_number": "504-454-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDGREN",
        "first_name": "JUSTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "025468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.