NPIMap

Individual provider Active NPI

Markalain Dery, DO

  • Infectious Disease Physician
  • New Orleans, LA
National Provider Identifier
1386648822
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
DO 000055 Issued in LA
Practice address
3225 Canal St
New Orleans, LA 70119-6203
Phone
(504) 821-9444
NPI assigned
Jun 13, 2005
Last updated
Oct 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X DO.000055 LA
Infectious Disease Physician 207RI0200X DO 000055 LA Primary

Addresses

Primary practice location

3225 Canal St
New Orleans, LA 70119-6203

Mailing address

448 Julia St Apt 209
New Orleans, LA 70130-3600
Phone (504) 343-4914

Other identifiers 1

IdentifierTypeStateIssuer
1020371MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071001000645 LA Practitioner - Internal MedicinePractitioner - Emergency MedicinePractitioner - Infectious Disease 2668462870 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
University of New England, College of Osteo Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Orleans Physician Services IncGroup PAC ID 5294057824, 177 clinicians

Practice addresses (Care Compare)

1101 Medical Ctr Blvd
Marrero, LA 70072-3147
Phone (504) 349-2427

1101 Medical Ctr Blvd ER
Marrero, LA 70072-3147
Phone (504) 349-1533

4513 Westbank Expressway
Marrero, LA 70072
Phone (504) 349-6360

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO 000055LAMDInfectious Disease Physician
4084AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund Specialist CurrentSince Oct 14, 2014 Accepting new patients
Access Health Louisiana CurrentSince Aug 29, 2018 Accepting new patients
Access Health Louisiana CurrentSince Aug 29, 2018 Accepting new patients
New Orleans Physician Services Inc Internal Medicine CurrentSince Jan 3, 2024 Accepting new patients
Administrators of the Tulane Educational Fund Specialist CurrentSince Oct 14, 2014 Accepting new patients
Access Health Louisiana Current Accepting new patients
West Jefferson Holdings, LLC Past Accepting new patients
Access Health Louisiana Past Accepting new patients
Page Hospital Past Accepting new patients
Lakeside Physician Associates, LLC Past Accepting new patients

Locations

8200 Highway 23
Belle Chasse, LA 70037
Phone (504) 398-1100

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

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

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

5620 Read Blvd
New Orleans, LA 70127
Phone (504) 241-2664

Interoperability endpoints

  • Direct secure messaging: markalain.dery.1@11331.direct.athenahealth.com

Organizations & group practices 11

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.

Hospital & facility affiliations 4

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1386648822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 JULIA ST APT 209",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701303600",
            "telephone_number": "504-343-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196203",
            "telephone_number": "504-821-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERY",
        "first_name": "MARKALAIN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "DO.000055",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "LA",
            "license": "DO 000055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020371",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.