Individual provider Active NPI

Charles Rene, M.D.

  • Specialist
  • Harvey, LA
National Provider Identifier
1396755013
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
014495 Issued in LA
Practice address
3909 Lapalco Blvd Ste 200
Harvey, LA 70058-2302
Phone
(504) 349-6216
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 014495 LA Primary

Addresses

Primary practice location

3909 Lapalco Blvd Ste 200
Harvey, LA 70058-2302

Mailing address

149 W Lakeview Dr
La Place, LA 70068-2427
Phone (985) 651-7740

Other identifiers 1

IdentifierTypeStateIssuer
1355836MedicaidLA

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
I20040511000016 LA Practitioner - Obstetrics/Gynecology 4587653944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Woman'S Clinic of Marrero IncGroup PAC ID 7416940192, 2 clinicians

Practice addresses (Care Compare)

4945 Lapalco Blvd
Suite 100
Marrero, LA 70072-4320

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Woman'S Clinic of Marrero Inc CurrentSince Apr 27, 2015 Accepting new patients
The Administrators of the Tulane Educational Fund Specialist Past Accepting new patients
Optima Eye Care, LLC Past Accepting new patients
Administrators of the Tulane Educational Fund Specialist Past Accepting new patients

Locations

3909 Lapalco Blvd
Ste 200
Harvey, LA 70058
Phone (504) 349-6216

4945 Lapalco Blvd
Ste 100
Marrero, LA 70072
Phone (504) 349-6216

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1396755013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 W LAKEVIEW DR",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700682427",
            "telephone_number": "985-651-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 LAPALCO BLVD STE 200",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700582302",
            "telephone_number": "504-349-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENE",
        "first_name": "CHARLES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "014495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1355836",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

Verify at the official NPI Registry.