Individual provider Active NPI

Kimberly Jane Dao, M.D.

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1346549524
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD207.217 Issued in LA
Practice address
4657 Alcee Fortier Blvd
New Orleans, LA 70129-2140
Phone
(504) 606-2819
NPI assigned
Mar 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD207.217 LA Primary

Addresses

Primary practice location

4657 Alcee Fortier Blvd
New Orleans, LA 70129-2140

Mailing address

4657A Alcee Fortier Blvd
New Orleans, LA 70129
Phone (504) 254-4011

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
I20141028002290 LA Practitioner - Internal Medicine 2365663739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Versailles Neighborhood ClinicGroup PAC ID 3375621964, 2 clinicians

Practice addresses (Care Compare)

4657 Alcee Fortier Blvd
Suite a
New Orleans, LA 70129-2140
Phone (504) 254-4011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD207.217LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Versailles Neighborhood Clinic CurrentSince Sep 3, 2014 Accepting new patients

Locations

4657 Alcee Fortier Blvd
#A
New Orleans, LA 70129
Phone (504) 254-4011

4657 Alcee Fortier Blvd
Ste A
New Orleans, LA 70129
Phone (504) 254-4011

4657 Alcee Fortier Blvd
New Orleans, LA 70129
Phone (504) 254-4011

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.

NPI Registry JSON

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

{
    "created_epoch": "1301184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1346549524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4657A ALCEE FORTIER BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70129",
            "telephone_number": "504-254-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4657 ALCEE FORTIER BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701292140",
            "telephone_number": "504-606-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAO",
        "first_name": "KIMBERLY",
        "middle_name": "JANE",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-27",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD207.217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.