Individual provider Active NPI

Tanya Schneller Busenlener, MD

  • Pediatrics Physician
  • Metairie, LA
National Provider Identifier
1366492068
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD.12215R Issued in LA
Practice address
4901 Veterans Memorial Blvd.
Metairie, LA 70006-5210
Phone
(504) 887-1133
Fax
(504) 837-8293
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25555 LA
Pediatrics Physician 208000000X MD.12215R LA Primary

Addresses

Primary practice location

4901 Veterans Memorial Blvd.
Metairie, LA 70006-5210

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
1940534MedicaidLA
09277317MedicaidMS
1699705MedicaidLA

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
I20101130001086 LA Practitioner - Pediatric Medicine 3971799172 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25555LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Nov 1, 2010 Accepting new patients
Ochsner Clinic LLC CurrentSince Nov 1, 2010 Accepting new patients
Childrens Hospital Medical Practice Corporation Pediatrics CurrentSince Nov 20, 2024 Accepting new patients
University Healthcare System, L.C. Past Accepting new patients
Children'S Hospital Pediatrics Past Accepting new patients

Locations

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

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

4845 Veterans Memorial Blvd
Metairie, LA 70006

4845 Veterans Memorial Blvd
#48
Metairie, LA 70006
Phone (504) 883-3703

4901 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 887-1133

1514 Jefferson Hwy
New Orleans, LA 70121

1100 Poydras St
New Orleans, LA 70163
Phone (504) 527-9952

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1366492068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HIGHWAY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000",
            "fax_number": "504-837-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 VETERANS MEMORIAL BLVD.",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065210",
            "telephone_number": "504-887-1133",
            "fax_number": "504-837-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSENLENER",
        "first_name": "TANYA",
        "middle_name": "SCHNELLER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "25555",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.12215R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1940534",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09277317",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699705",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.