Individual provider Active NPI

Gregg K Arena, MD

  • Anesthesiology Physician
  • Ruston, LA
National Provider Identifier
1356443766
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD017213 Issued in LA
Practice address
401 E Vaughn Ave
Ruston, LA 71270-5950
Phone
(318) 254-2100
NPI assigned
Sep 5, 2006
Last updated
Feb 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 24749 KY
Anesthesiology Physician 207L00000X MD017213 LA Primary

Addresses

Primary practice location

401 E Vaughn Ave
Ruston, LA 71270-5950

Mailing address

401 E Vaughn Ave
Ruston, LA 71270-5950
Phone (318) 254-2100

Other identifiers 2

IdentifierTypeStateIssuer
1622257MedicaidLA
64247497MedicaidKY

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
I20050803001145 LA Practitioner - Anesthesiology 9830095199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Louisiana State University School of Medicine in New Orleans, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arena Anesthesia LLCGroup PAC ID 4385795319, 9 clinicians

Practice addresses (Care Compare)

401 E Vaughn Ave
Ruston, LA 71270-5950
Phone (318) 254-2454

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD017213LAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arena Anesthesia LLC Anesthesiology CurrentSince Jul 1, 2009 Accepting new patients
Radiology Inc PastSince Aug 12, 2012 Accepting new patients
Sheridan Healthcare of Louisiana Inc Anesthesiology Past Accepting new patients
Definitive Medical Solutions, PSC Anesthesiology Past Accepting new patients
St. Luke Hospitals Inc Past Accepting new patients

Locations

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1356443766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E VAUGHN AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705950",
            "telephone_number": "318-254-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E VAUGHN AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705950",
            "telephone_number": "318-254-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARENA",
        "first_name": "GREGG",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "24749",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "MD017213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1622257",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64247497",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.