Active NPI
Michael Joseph Marcello, MD
- Family Medicine Physician
- Raceland, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 013251
- Practice address
- 111 Acadia Dr.
Raceland, LA 70394 - Phone
- (985) 537-7575
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 013251 | LA | Primary |
Addresses
Primary practice location
111 Acadia Dr.
Raceland, LA 70394
Mailing address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164305 | Medicaid | LA | |
| 04183560 | Medicaid | MS | |
| 080192844 | Other | LA | RR MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in New Orleans, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
106 Cypress St
Raceland, LA 70394-2764
Phone (985) 537-6841
111 Acadia Park Dr
Raceland, LA 70394-2619
Phone (985) 537-7575
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000
1516 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3470
71380 Hwy 21
Covington, LA 70433-7245
Phone (985) 661-3534
Hospital & facility affiliations
- Ochsner Home Health of Raceland
- Home Health Ctr of Thibodaux
- Ochsner St Anne General Hospital
- Ochsner Medical Center Acute
- Thibodaux Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13251 | LA | MD | Mental Health Counselor |
| 013251 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Bayou LLC | Current | Accepting new patients | |
| Cardiovascular Institute of the South, Apmc | Past | Accepting new patients | |
| Cardiovascular Institute of the South, LLC | Family Medicine | Past | Accepting new patients |
Locations
1514 Jefferson Hwy
New Orleans, LA 70121
111 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-7575
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
4608 Highway 1
Raceland, LA 70394
Phone (504) 537-6841
Interoperability endpoints
- mmarcello12395@direct.ochsner.org
Organizations & group practices 6
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.
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Critical Access Hospital
- Raceland, LA
- NPI 1396761805
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- General Practice Physician
- Kenner, LA
- NPI 1952840654
-
- Prosthetic/Orthotic Supplier
- Raceland, LA
- NPI 1477734424
-
- Cardiovascular Disease Physician
- Houma, LA
- NPI 1982689113
Family Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Raceland, LA
- NPI 1356588024
-
- Critical Access Hospital
- Raceland, LA
- NPI 1396761805
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- General Acute Care Hospital
- Thibodaux, LA
- NPI 1902465065
-
- Home Health Agency
- Thibodaux, LA
- NPI 1912567033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1366449167",
"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": "111 ACADIA DR.",
"city": "RACELAND",
"state": "LA",
"postal_code": "70394",
"telephone_number": "985-537-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCELLO",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "013251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164305",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04183560",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "080192844",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raceland, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.