Organization Active NPI

Jorge Contreras MD LLC

  • Specialist
  • Metairie, LA
National Provider Identifier
1376743724
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
023608 Issued in LA
Legal business name
JORGE CONTRERAS MD LLC
Practice address
3800 Houma Blvd Ste 250
Metairie, LA 70006-5013
Phone
(504) 885-3272
Fax
(504) 456-6600
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Dr. Jorge Mario Contreras, MDNPI 1699814053
Title
Jorge Contreras
Phone
(504) 885-3272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 023608 LA Primary

Addresses

Primary practice location

3800 Houma Blvd Ste 250
Metairie, LA 70006-5013

Mailing address

3800 Houma Blvd Ste 250
Metairie, LA 70006-5013
Phone (504) 885-3272

Other identifiers 1

IdentifierTypeStateIssuer
1496430MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051201000018 LA Part B Supplier - Clinic/Group Practice 0244281897 Receives reassigned benefits from 1 practitioner
Practice locations: Metairie, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1376743724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HOUMA BLVD STE 250",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065013",
            "telephone_number": "504-885-3272",
            "fax_number": "504-456-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HOUMA BLVD STE 250",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065013",
            "telephone_number": "504-885-3272",
            "fax_number": "504-456-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE CONTRERAS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "MARIO",
        "authorized_official_title_or_position": "JORGE CONTRERAS",
        "authorized_official_telephone_number": "504-885-3272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "023608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1496430",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.