Individual provider Active NPI

Chukwunomnso Nwaka'Ibeya Dennar, M.D.

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1326153131
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD201921 Issued in LA
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1014405060001MedicaidPA
1040401MedicaidLA

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
I20080501000197 LA Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Emergency Medicine 6406876408 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine, Pediatric 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
Premium Care Medical Center LLCGroup PAC ID 1951529791, 2 clinicians

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

LicenseStateTypeSpecialty
MD201921LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Feb 27, 2008 Accepting new patients
Concord Medical Group PLLC CurrentSince Sep 13, 2017 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Feb 27, 2008 Accepting new patients
Independence Emergency Group LLC CurrentSince Sep 1, 2013 Accepting new patients
Washington Parish Emergency Physicians Group LLC CurrentSince Sep 1, 2016 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Sep 13, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.