Individual provider Active NPI

David A Jansen, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Metairie, LA
National Provider Identifier
1316042856
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
MD.09589R Issued in LA
Practice address
3900 Veterans Memorial Blvd
Suite 200
Metairie, LA 70002-5634
Phone
(504) 455-1000
Fax
(504) 455-1555
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X MD.09589R LA Primary

Addresses

Primary practice location

3900 Veterans Memorial Blvd
Suite 200
Metairie, LA 70002-5634

Mailing address

3900 Veterans Memorial Blvd
Ste 200
Metairie, LA 70002
Phone (504) 455-1000

Other practice location 1

2100 Audubon Ave
Thibodaux, LA 70301-5014
Phone (985) 448-0448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060127000057 LA Practitioner - Plastic and Reconstructive Surgery 0042224214 Reassigns benefits to 1 organization
I20090204000624 TX Practitioner - Plastic and Reconstructive Surgery 0042224214

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Northwestern University Feinberg Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3900 Veterans Memorial Blvd
Suite 200
Metairie, LA 70002-5634
Phone (504) 455-1000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.09589RLAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Texas Plastic Surgery, PA Plastic Surgery CurrentSince May 1, 2008 Accepting new patients
Surgical Associates, LLC Plastic and Reconstructive Surgery CurrentSince Jan 1, 2007 Accepting new patients
Guste Plastic and Reconstructive Surgery, LLC PastSince Jul 24, 2022 Accepting new patients

Locations

3900 Veterans Memorial Blvd
Ste 200
Metairie, LA 70002
Phone (504) 455-1000

2100 Audubon Ave
Thibodaux, LA 70301
Phone (985) 446-2174

301 W 18th St
Ste 101
Mt Pleasant, TX 75455
Phone (903) 563-5478

Interoperability endpoints

  • Direct secure messaging: djansen25899@direct.ochsner.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1316042856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 VETERANS MEMORIAL BLVD",
            "address_2": "STE 200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70002",
            "telephone_number": "504-455-1000",
            "fax_number": "504-455-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE 200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025634",
            "telephone_number": "504-455-1000",
            "fax_number": "504-455-1555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Audubon Ave",
            "address_purpose": "LOCATION",
            "city": "Thibodaux",
            "state": "LA",
            "postal_code": "703015014",
            "country_code": "US",
            "telephone_number": "985-448-0448",
            "fax_number": "504-455-1555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "LA",
            "license": "MD.09589R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.