Active NPI
Chukwunomnso Nwaka'Ibeya Dennar, M.D.
- Internal Medicine Physician
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD201921
- Practice address
- 3570 Holiday Dr
Suites 3 - 7
New Orleans, LA 70114-8287 - Phone
- (504) 361-4203
- NPI assigned
- Aug 20, 2006
- Last updated
- Feb 17, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD201921 | LA | Primary |
| Pediatrics Physician | 208000000X | MD201921 | LA |
Addresses
Primary practice location
3570 Holiday Dr
Suites 3 - 7
New Orleans, LA 70114-8287
Mailing address
3570 Holiday Dr
Suites 3 - 7
New Orleans, LA 70114-8287
Phone (504) 361-4203
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1014405060001 | Medicaid | PA | |
| 1040401 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Temple University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3570 Holiday Dr
Suite 3 7
New Orleans, LA 70114-8287
Phone (504) 361-4203
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD201921 | LA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Concord Medical Group PLLC | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Independence Emergency Group LLC | Current | Accepting new patients | |
| Washington Parish Emergency Physicians Group LLC | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current | Accepting new patients | |
| The Administrators of the Tulane Educational Fund | Past | Accepting new patients | |
| Lakeside Physician Associates, LLC | Past | Accepting new patients |
Locations
433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700
600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100
1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511
4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453
1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300
1430 Tulane Ave
#27
New Orleans, LA 70112
Phone (318) 767-2131
1450 Poydras St
New Orleans, LA 70112
Phone (504) 903-2373
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860
1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200
Interoperability endpoints
- chukwunomnso.dennar.1@7881.direct.athenahealth.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- New Orleans, LA
- NPI 1477995231
-
dba Tulane University Medical Group
- Specialist
- New Orleans, LA
- NPI 1528014164
-
- Emergency Medicine Physician
- Metairie, LA
- NPI 1528384773
-
- Emergency Medicine Physician
- Bogalusa, LA
- NPI 1538511043
-
- Specialist
- Hattiesburg, MS
- NPI 1033395298
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- Emergency Medical Services (Emergency Medicine) Physician
- New Orleans, LA
- NPI 1942391826
-
dba Affiliated Services Billing-HPL
- Specialist
- New Orleans, LA
- NPI 1437365863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487289600000",
"number": "1326153131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3570 HOLIDAY DR",
"address_2": "SUITES 3 - 7",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701148287",
"telephone_number": "504-361-4203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3570 HOLIDAY DR",
"address_2": "SUITES 3 - 7",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701148287",
"telephone_number": "504-361-4203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNAR",
"first_name": "CHUKWUNOMNSO",
"middle_name": "NWAKA'IBEYA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2017-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "MD201921",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "MD201921",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1014405060001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1040401",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.