Active NPI
Emily Tan Aventura, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 53562
- Practice address
- 433 Bolivar St
New Orleans, LA 70112-2256 - Phone
- (504) 423-3689
- NPI assigned
- Aug 7, 2007
- Last updated
- Jan 27, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 53562 | KY | Primary |
Addresses
Primary practice location
433 Bolivar St
New Orleans, LA 70112-2256
Mailing address
2020 Gravier St
7TH Floor, Suite D
New Orleans, LA 70112-2272
Phone (504) 423-3689
Other names 1
- Dr. Emily Aquilino Tan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1906 Blake Ave
Glenwood SPGS, CO 81601-4259
3401 W Gore Blvd
Lawton, OK 73505-6332
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53562 | KY | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley View Hospital Association | Current | Accepting new patients | |
| Valley View Hospital Association | Current | Accepting new patients |
Locations
1830 Blake Ave
Ste 101
Glenwood Springs, CO 81601
Phone (970) 384-7144
Interoperability endpoints
- eaventura463838@direct.ochsner.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Public Health or Welfare Agency
- Lawton, OK
- NPI 1053352690
-
dba The Spine Center at Valley View
- Neurological Surgery Physician
- Aspen, CO
- NPI 1376134841
-
dba Roaring Fork Surgical
- Surgery Physician
- Silt, CO
- NPI 1184483927
-
dba Palliative Care
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Carbondale, CO
- NPI 1457235202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1407047277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 GRAVIER ST",
"address_2": "7TH FLOOR, SUITE D",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122272",
"telephone_number": "504-423-3689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 BOLIVAR ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122256",
"telephone_number": "504-423-3689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVENTURA",
"first_name": "EMILY",
"middle_name": "TAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-07",
"last_updated": "2021-01-27",
"certification_date": "2021-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "KY",
"license": "53562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "TAN",
"middle_name": "AQUILINO",
"prefix": "DR.",
"credential": "M.D,",
"code": "1",
"type": "Former Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.