Individual provider Active NPI

Rachael Marie Delahoussaye-Shields, M.D.

  • Dermatology Physician
  • Metairie, LA
National Provider Identifier
1316233422
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
64490-20 Issued in WI
Practice address
3197 Richland Ave
Metairie, LA 70002-5500
Phone
(504) 454-2997
Fax
(504) 454-2763
NPI assigned
Jun 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 64490-20 WI Primary

Addresses

Primary practice location

3197 Richland Ave
Metairie, LA 70002-5500

Mailing address

3197 Richland Ave
Metairie, LA 70002-5500
Phone (504) 454-2997

Other identifiers 1

IdentifierTypeStateIssuer
64490-20OtherWIWI LICENSE

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
I20180924000963 LA Practitioner - Dermatology 4486961976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in New Orleans, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
T and G Dermatology ApmcGroup PAC ID 0547333957, 2 clinicians

Practice addresses (Care Compare)

3197 Richland Ave
FL 2
Metairie, LA 70002-5500
Phone (504) 454-2997

Merit-based Incentive Payment System (MIPS)

Final score
89.73 of 100Reported as group
Quality
79.46
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions311
Removal or shaving of skin growth11
Skin biopsy102

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dege CurrentSince Apr 1, 2021 Accepting new patients
The Skin Surgery Centre, LLC PastSince Sep 15, 2018 Accepting new patients

Locations

3800 Houma Blvd
Ste 310
Metairie, LA 70006
Phone (504) 454-2997

3197 Richland Ave
Fl 2
Metairie, LA 70002
Phone (504) 454-2997

3197 Richland Ave
Metairie, LA 70002
Phone (504) 249-7576

Interoperability endpoints

  • Direct secure messaging: rdelahoussayesheilds154583@aurora.direct-ci.com

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": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1316233422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3197 RICHLAND AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025500",
            "telephone_number": "504-454-2997",
            "fax_number": "504-454-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3197 RICHLAND AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025500",
            "telephone_number": "504-454-2997",
            "fax_number": "504-454-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAHOUSSAYE-SHIELDS",
        "first_name": "RACHAEL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "64490-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI LICENSE",
            "identifier": "64490-20",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.