NPIMap

Individual provider Active NPI

Esteban Gershanik, M.D., M.P.H.

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1376723858
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200587 Issued in LA
Practice address
1430 Tulane Ave # SL-37
Med-Peds Residency Progran
New Orleans, LA 70112-2632
Phone
(504) 988-5800
NPI assigned
Nov 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200587 LA Primary
Pediatrics Physician 208000000X 200587 LA

Addresses

Primary practice location

1430 Tulane Ave # SL-37
Med-Peds Residency Progran
New Orleans, LA 70112-2632

Mailing address

300 Lake Marina Dr
Apt. #13D
New Orleans, LA 70124-1676
Phone (504) 782-5917

Other identifiers 1

IdentifierTypeStateIssuer
1069931MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090224000161 LA Practitioner - Pediatric MedicinePractitioner - Internal MedicinePractitioner - Emergency Medicine 6204991300 Reassigns benefits to 3 organizations
I20100223000136 MA Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Hospitalist 6204991300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
Tulane University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (504) 412-1860

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200587LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Emergency Group LLC CurrentSince Apr 17, 2014 Accepting new patients
Louisiana State University School of Med in New Orleans Faculty Grou Pediatrics CurrentSince Mar 1, 2019 Accepting new patients
Children'S Hospital CurrentSince Dec 9, 2024 Accepting new patients
Brigham and Women'S Hospital Current Accepting new patients
Children'S Hospital Pediatrics CurrentSince Dec 9, 2024 Accepting new patients
Lakeside Physician Associates, LLC Past Accepting new patients
Children'S Hospital Past Accepting new patients
Brigham & Womens Hospital, Inc. Past Accepting new patients
Brigham and Women'S Faulkner Hospital, Inc Past Accepting new patients

Locations

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

4545 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 896-9822

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

75 Francis St
Boston, MA 02115

Interoperability endpoints

  • Direct secure messaging: gershanik.esteban.bwh@direct.partners.masshiway.net

Organizations & group practices 10

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 3

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": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1376723858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LAKE MARINA DR",
            "address_2": "APT. #13D",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701241676",
            "telephone_number": "504-782-5917",
            "fax_number": "504-891-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE # SL-37",
            "address_2": "MED-PEDS RESIDENCY PROGRAN",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSHANIK",
        "first_name": "ESTEBAN",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "200587",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "200587",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1069931",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.