Active NPI
Paul Peter Dimartino, M.D.
- Orthopaedic Surgery of the Spine Physician
- New Orleans, LA
National Provider Identifier
1386692325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 204973
- Practice address
- 1542 Tulane Ave
Box T6-7
New Orleans, LA 70112-2865 - Phone
- (504) 568-4680
- Fax
- (504) 568-4466
- NPI assigned
- May 4, 2006
- Last updated
- May 15, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 204973 | LA | Primary |
Addresses
Primary practice location
1542 Tulane Ave
Box T6-7
New Orleans, LA 70112-2865
Mailing address
1542 Tulane Ave
Box T6-7
New Orleans, LA 70112-2865
Phone (504) 568-4680
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0491953 | Other | VA | CIGNA |
| 13765 | Other | VA | SENTARA-OPTIMA HEALTH |
| 54-1739189 | Other | VA | FED TAX ID |
| 0900797 | Other | VA | UNITED HEALTHCARE |
| 19706 | Other | VA | CARENET-MEDICAID |
| 258231 | Other | VA | MDIPA,MAMSI,OPTIMUM CHOIC |
| 08936187200 | Other | VA | OHIO WORK COMP |
| 1005877 | Other | VA | US HEALTHCARE-AETNA HMO |
| 107537 | Other | VA | ANTHEM BC/BS |
| 4023216 | Other | VA | AETNA |
| 006405631 | Medicaid | VA | |
| 150146600 | Other | VA | US DEPT OF LABOR |
| 83299 | Other | VA | SOUTHERN HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204973 | LA | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Spine Center | Past | Accepting new patients | |
| Midatlantic Spine Specialists P C | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400112000000",
"number": "1386692325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1542 TULANE AVE",
"address_2": "BOX T6-7",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122865",
"telephone_number": "504-568-4680",
"fax_number": "504-568-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1542 TULANE AVE",
"address_2": "BOX T6-7",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122865",
"telephone_number": "504-568-4680",
"fax_number": "504-568-4466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMARTINO",
"first_name": "PAUL",
"middle_name": "PETER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2014-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "LA",
"license": "204973",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0491953",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA-OPTIMA HEALTH",
"identifier": "13765",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FED TAX ID",
"identifier": "54-1739189",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0900797",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARENET-MEDICAID",
"identifier": "19706",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDIPA,MAMSI,OPTIMUM CHOIC",
"identifier": "258231",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO WORK COMP",
"identifier": "08936187200",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE-AETNA HMO",
"identifier": "1005877",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "107537",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4023216",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006405631",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "150146600",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "83299",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.