Individual provider Active NPI

Emily Tan Aventura, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • New Orleans, LA
National Provider Identifier
1407047277
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
53562 Issued in KY
Practice address
433 Bolivar St
New Orleans, LA 70112-2256
Phone
(504) 423-3689
NPI assigned
Aug 7, 2007
Last updated
Jan 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260306001919 CO Practitioner - Critical Care (Intensivists) 3971634932 Reassigns benefits to 1 organization
I20260429004321 OK Practitioner - Critical Care (Intensivists) 3971634932 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
53562KYMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Hospital Association CurrentSince Mar 1, 2026 Accepting new patients
Valley View Hospital Association CurrentSince Mar 1, 2026 Accepting new patients

Locations

1830 Blake Ave
Ste 101
Glenwood Springs, CO 81601
Phone (970) 384-7144

Interoperability endpoints

  • Direct secure messaging: 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.

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"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.