Individual provider Active NPI

Austin Michael Fraser, M.D.

  • Rheumatology Physician
  • Metairie, LA
National Provider Identifier
1336339118
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD.203003 Issued in LA
Practice address
111 Veterans Memorial Blvd
Suite #404
Metairie, LA 70005-3028
Phone
(504) 899-1120
Fax
(504) 899-2432
NPI assigned
Jul 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD.203003 LA Primary

Addresses

Primary practice location

111 Veterans Memorial Blvd
Suite #404
Metairie, LA 70005-3028

Mailing address

111 Veterans Memorial Blvd
Suite #404
Metairie, LA 70005-3028
Phone (504) 899-1120

Other identifiers 2

IdentifierTypeStateIssuer
1000701MedicaidLA
00628568MedicaidMS

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
I20100928000889 LA Practitioner - Rheumatology 8325164254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Louisiana State University School of Medicine in Shreveport, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Rheumatology Group, LLCGroup PAC ID 7911926704, 3 clinicians

Practice addresses (Care Compare)

111 Veterans Memorial Blvd
Metairie, LA 70005-3079

Hospital & facility affiliations

  • Touro Infirmary Hospital, New Orleans, LA, CCN 190046

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Rheumatology Group, LLC Rheumatology CurrentSince Sep 23, 2024 Accepting new patients

Locations

111 Veterans Memorial Blvd
Ste 404
Metairie, LA 70005
Phone (504) 899-1120

2633 Napoleon Ave
Ste 530
New Orleans, LA 70115
Phone (504) 899-1120

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEDACA

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1336339118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE #404",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053028",
            "telephone_number": "504-899-1120",
            "fax_number": "504-899-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE #404",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053028",
            "telephone_number": "504-899-1120",
            "fax_number": "504-899-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "AUSTIN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-27",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "LA",
            "license": "MD.203003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000701",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00628568",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.