Individual provider Active NPI

Brandi Ducote Naccari, MD

  • Pediatrics Physician
  • Metairie, LA
National Provider Identifier
1346636669
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
308370 Issued in LA
Practice address
3100 Kingman St Ste 110
Metairie, LA 70006
Phone
(504) 887-6355
Fax
(504) 888-3747
NPI assigned
Apr 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 308370 LA Primary

Addresses

Primary practice location

3100 Kingman St Ste 110
Metairie, LA 70006

Mailing address

3100 Kingman St Ste 110
Metairie, LA 70006-5419
Phone (504) 887-6355

Other identifiers 1

IdentifierTypeStateIssuer
2389581MedicaidLA

Other names 1

  • Brandi Renee Dautreuil Ducote Former name

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
I20220503001360 LA Practitioner - Pediatric Medicine 8820485253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Childrens Hospital Medical Practice CorporationGroup PAC ID 5597944579, 48 clinicians

Practice addresses (Care Compare)

3100 Kingman St
Suite 110
Metairie, LA 70006-5419
Phone (504) 887-6355

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Hospital Medical Practice Corporation Pediatrics CurrentSince Jan 25, 2022 Accepting new patients

Locations

141 Ormond Center Ct
Destrehan, LA 70047
Phone (985) 764-7337

465 Belle Terre Blvd
La Place, LA 70068
Phone (985) 623-2200

3100 Kingman St
Ste 110
Metairie, LA 70006
Phone (504) 887-6355

3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

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": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1346636669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 KINGMAN ST STE 110",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065419",
            "telephone_number": "504-887-6355",
            "fax_number": "504-888-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 KINGMAN ST STE 110",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70006",
            "telephone_number": "504-887-6355",
            "fax_number": "504-888-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACCARI",
        "first_name": "BRANDI",
        "middle_name": "DUCOTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "308370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2389581",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "DUCOTE",
            "middle_name": "RENEE DAUTREUIL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.