Individual provider Active NPI

Raymond P Decorte, MD

  • Surgery Physician
  • Metairie, LA
National Provider Identifier
1396859880
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
018188 Issued in LA
Practice address
3901 Houma Blvd
Ste 500
Metairie, LA 70006-2930
Phone
(504) 885-4833
Fax
(504) 888-3132
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 018188 LA Primary

Addresses

Primary practice location

3901 Houma Blvd
Ste 500
Metairie, LA 70006-2930

Mailing address

4224 Houma Blvd
Ste 520
Metairie, LA 70006
Phone (504) 885-4833

Other identifiers 1

IdentifierTypeStateIssuer
1977764MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018188LAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spring ENT, L.L.C. PastSince Dec 6, 2020 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d20e093f-31a9-4605-82c5-86f95f98be05/

Organizations & group practices 1

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1396859880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 HOUMA BLVD",
            "address_2": "STE 520",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70006",
            "telephone_number": "504-885-4833",
            "fax_number": "504-888-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 HOUMA BLVD",
            "address_2": "STE 500",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062930",
            "telephone_number": "504-885-4833",
            "fax_number": "504-888-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECORTE",
        "first_name": "RAYMOND",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "018188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1977764",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.