Individual provider Active NPI

Mark Morici, MD

  • Pediatrics Physician
  • Metairie, LA
National Provider Identifier
1316913676
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
022703 Issued in LA
Practice address
2201 Veterans Memorial Blvd
Ste 300
Metairie, LA 70002-6323
Phone
(504) 833-7374
Fax
(504) 833-4818
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 022703 LA Primary

Addresses

Primary practice location

2201 Veterans Memorial Blvd
Ste 300
Metairie, LA 70002-6323

Mailing address

298 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (504) 833-7374

Other identifiers 1

IdentifierTypeStateIssuer
1492205MedicaidLA

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
I20200402001681 LA Practitioner - Pediatric Medicine 2264861863 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022703LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Hospital Medical Practice Corporation Pediatrics CurrentSince Dec 31, 2019 Accepting new patients
University Healthcare System, L.C. Past Accepting new patients
Children's Hospital Pediatrics Past Accepting new patients

Locations

141 Ormond Center Ct
Destrehan, LA 70047
Phone (985) 764-7337

3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880

2201 Veterans Memorial Blvd
Metairie, LA 70002

2201 Veterans Memorial Blvd
#22
Metairie, LA 70002
Phone (504) 883-7374

2201 Veterans Memorial Blvd
Ste 300
Metairie, LA 70002
Phone (504) 833-4303

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

200 Henry Clay Ave
Ste 2022
New Orleans, LA 70118

298 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 896-9827

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1316913676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 HENRY CLAY AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185720",
            "telephone_number": "504-833-7374",
            "fax_number": "504-833-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 VETERANS MEMORIAL BLVD",
            "address_2": "STE 300",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026323",
            "telephone_number": "504-833-7374",
            "fax_number": "504-833-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORICI",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "022703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1492205",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.