Individual provider Active NPI

Shomari J Olden, M.D.

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1356791131
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
320583 Issued in LA
Practice address
1514 Jefferson Hwy
New Orleans, LA 70121
Phone
(504) 842-7511
Fax
(504) 842-2644
NPI assigned
Jun 13, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P32680 MD
Hospitalist Physician 208M00000X 320583 LA
Internal Medicine Physician 207R00000X 320583 LA Primary

Addresses

Primary practice location

1514 Jefferson Hwy
New Orleans, LA 70121

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other practice location 1

2401 W Belvedere Ave
Baltimore, MD 21215-5216
Phone (410) 601-9000

Other practice location 2

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4541

Other practice location 3

2401 W Belvedere Ave
Baltimore, MD 21215-5216
Phone (410) 601-9000

Other practice location 4

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-2605

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
I20191010001105 LA Practitioner - Internal MedicinePractitioner - Hospitalist 3274828975 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Medical Group LLCGroup PAC ID 5092970624, 176 clinicians

Practice addresses (Care Compare)

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4541

Hospital & facility affiliations

  • Fmol Health St Francis Hospital, Monroe, LA, CCN 190125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P32680MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Internal Medicine CurrentSince Aug 21, 2019 Accepting new patients
St Francis Medical Group LLC Internal Medicine CurrentSince Jun 2, 2024 Accepting new patients
Belle Chasse Physician Services LLC Hospitalist CurrentSince Mar 29, 2021 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Lourdes Physician Group LLC CurrentSince Jun 2, 2024 Accepting new patients
Mayfair Physician Services, LLC Internal Medicine CurrentSince Mar 29, 2021 Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 21, 2019 Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients

Locations

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135

517 Catalpa St
Monroe, LA 71201
Phone (318) 966-6500

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

1514 Jefferson Hwy
New Orleans, LA 70121

25455 Highway 1
Plaquemine, LA 70764
Phone (225) 754-6870

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

Interoperability endpoints

  • Direct secure messaging: solden5286492@direct.casso.us.com

Organizations & group practices 9

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 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": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1356791131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70121",
            "telephone_number": "504-842-7511",
            "fax_number": "504-842-2644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 W Belvedere Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212155216",
            "country_code": "US",
            "telephone_number": "410-601-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712017407",
            "country_code": "US",
            "telephone_number": "318-966-4541",
            "fax_number": "318-966-4543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 W Belvedere Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212155216",
            "country_code": "US",
            "telephone_number": "410-601-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 Ambassador Caffery Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705086917",
            "country_code": "US",
            "telephone_number": "337-470-2605",
            "fax_number": "337-470-4595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLDEN",
        "first_name": "SHOMARI",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "P32680",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "320583",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "320583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.