Individual provider Active NPI

Michelle S Gerdes, MD

  • Dermatology Physician
  • Metairie, LA
National Provider Identifier
1376566380
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
024931 Issued in LA
Practice address
3421 N Causeway Blvd
Suite 202
Metairie, LA 70002-3733
Phone
(504) 832-6612
Fax
(504) 832-6613
NPI assigned
Jul 25, 2006
Last updated
Jan 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 024931 LA Primary

Addresses

Primary practice location

3421 N Causeway Blvd
Suite 202
Metairie, LA 70002-3733

Mailing address

3421 N Causeway Blvd
Suite 202
Metairie, LA 70002-3733
Phone (504) 832-6612

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
I20050628000753 LA Practitioner - Dermatology 7911942107 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in New Orleans, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Dermatology Specialists LLCGroup PAC ID 4082998224, 5 clinicians

Practice addresses (Care Compare)

3421 N Causeway Blvd
Suite 202
Metairie, LA 70002-3759
Phone (504) 832-6612

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions309
Removal or shaving of skin growth1-10
Skin biopsy48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024931LAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Dermatology Specialists, LLC Dermatology CurrentSince Mar 1, 2017 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince May 1, 2021 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince May 1, 2021 Accepting new patients
Louisiana State University School of Med in New Orleans Faculty Grou CurrentSince Jan 1, 2017 Accepting new patients

Locations

3421 N Causeway Blvd
Ste 202
Metairie, LA 70002
Phone (504) 832-6612

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1376566380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 N CAUSEWAY BLVD",
            "address_2": "SUITE 202",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023733",
            "telephone_number": "504-832-6612",
            "fax_number": "504-832-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 N CAUSEWAY BLVD",
            "address_2": "SUITE 202",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023733",
            "telephone_number": "504-832-6612",
            "fax_number": "504-832-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERDES",
        "first_name": "MICHELLE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "024931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.