Organization Active NPI

Saketkoo MD, LLC

  • Rheumatology Physician
  • New Orleans, LA
National Provider Identifier
1326614587
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
SAKETKOO MD, LLC
Practice address
3525 Prytania St
New Orleans, LA 70115-3500
Phone
(504) 822-6653
NPI assigned
May 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Lesley Ann Saketkoo, MD, MPHNPI 1144253931
Title
Physician, Sole Proprietor
Phone
(504) 237-5720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

3525 Prytania St
New Orleans, LA 70115-3500

Mailing address

2622 Camp St
New Orleans, LA 70130-5619
Phone (504) 237-5720

Other practice location 1

300 Clay St
Kenner, LA 70062-7606
Phone (504) 822-6653

Other practice location 2

2633 Napoleon Ave Ste 850
New Orleans, LA 70115-6357
Phone (504) 822-6653

Other identifiers 2

IdentifierTypeStateIssuer
1144253931OtherLANPI TYPE I
1052043MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210610000673 LA Part B Supplier - Clinic/Group Practice 5395145544 Receives reassigned benefits from 1 practitioner
Practice locations: New Orleans, LA

National Provider Directory

National Provider Directory

Locations

432 N Anthony St
New Orleans, LA 70119

2633 Napoleon Ave
Ste 850
New Orleans, LA 70115
Phone (504) 822-6653

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1326614587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 CAMP ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305619",
            "telephone_number": "504-237-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 PRYTANIA ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153500",
            "telephone_number": "504-822-6653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Clay St",
            "address_purpose": "LOCATION",
            "city": "Kenner",
            "state": "LA",
            "postal_code": "700627606",
            "country_code": "US",
            "telephone_number": "504-822-6653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2633 Napoleon Ave Ste 850",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701156357",
            "country_code": "US",
            "telephone_number": "504-822-6653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAKETKOO MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-28",
        "last_updated": "2023-09-06",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "SAKETKOO",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICIAN, SOLE PROPRIETOR",
        "authorized_official_telephone_number": "504-237-5720",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE I",
            "identifier": "1144253931",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1052043",
            "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 Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.