Individual provider Active NPI

John Michael Depaula, M.D.

  • Infectious Disease Physician
  • Metairie, LA
National Provider Identifier
1356447635
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
202786 Issued in LA
Practice address
4315 Houma Blvd Ste 201
Metairie, LA 70006-2943
Phone
(504) 455-4622
Fax
(504) 455-4688
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 202786 LA Primary

Addresses

Primary practice location

4315 Houma Blvd Ste 201
Metairie, LA 70006-2943

Mailing address

4315 Houma Blvd Ste 201
Metairie, LA 70006-2943
Phone (504) 455-4622

Other identifiers 1

IdentifierTypeStateIssuer
1882127MedicaidLA

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
I20090819000874 LA Practitioner - Infectious DiseasePractitioner - Internal Medicine 8729132121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Louisiana State University School of Medicine in Shreveport, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious Disease AssociatesGroup PAC ID 0345226437, 4 clinicians

Practice addresses (Care Compare)

4315 Houma Blvd
Suite 305
Metairie, LA 70006-2944
Phone (504) 455-4622

Hospital & facility affiliations

  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202786LAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Associates CurrentSince Aug 1, 2010 Accepting new patients
Dwight L. Roberson, M.D. Inc. Past Accepting new patients

Locations

4315 Houma Blvd
Ste 201
Metairie, LA 70006
Phone (504) 455-4622

4315 Houma Blvd
Ste 305
Metairie, LA 70006
Phone (504) 455-4622

Organizations & group practices 2

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 4

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1356447635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 HOUMA BLVD STE 201",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062943",
            "telephone_number": "504-455-4622",
            "fax_number": "504-455-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 HOUMA BLVD STE 201",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062943",
            "telephone_number": "504-455-4622",
            "fax_number": "504-455-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPAULA",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "LA",
            "license": "202786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1882127",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.