Individual provider Active NPI

Virginia Kellner, M.D.

  • Neurology Physician
  • Lafayette, LA
National Provider Identifier
1407084528
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2009015656 Issued in MO
Practice address
136 Hospital Dr
Suite 100
Lafayette, LA 70503-2819
Phone
(337) 289-8282
Fax
(337) 289-8283
NPI assigned
Jun 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2009015656 MO Primary

Addresses

Primary practice location

136 Hospital Dr
Suite 100
Lafayette, LA 70503-2819

Mailing address

136 Hospital Dr
Suite 100
Lafayette, LA 70503-2819
Phone (337) 289-8282

Other identifiers 1

IdentifierTypeStateIssuer
2367731MedicaidLA

Other names 1

  • Virginia Ellen Simon Former name

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
I20140904002123 LA Practitioner - NeurologyPractitioner - Other (Physician) 4486872462 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Louisiana State University School of Medicine in New Orleans, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lafayette General Medical Center IncGroup PAC ID 4688581457, 80 clinicians
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Practice addresses (Care Compare)

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991

136 Hospital Dr
Suite 100
Lafayette, LA 70503-2819
Phone (337) 289-8282

Hospital & facility affiliations

  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
  • Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102
  • Abrom Kaplan Memorial Hospital Hospital, Kaplan, LA, CCN 191322
  • Iberia Medical Center Hospital, New Iberia, LA, CCN 190054
  • Ochsner St Martin Hospital Hospital, Breaux Bridge, LA, CCN 191302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009015656MOMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures, Inc CurrentSince Aug 1, 2014 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Aug 1, 2014 Accepting new patients
University Hospital & Clinics Inc CurrentSince Dec 1, 2016 Accepting new patients
Lafayette General Medical Center Inc. Current Accepting new patients
University Hospital & Clinics, Inc. CurrentSince Dec 1, 2016 Accepting new patients
Lsuhn Billing LLC CurrentSince Nov 1, 2016 Accepting new patients
Lsuhn Billing LLC CurrentSince Nov 1, 2016 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
Lafayette General Medical Center Inc. CurrentSince Sep 17, 2020 Accepting new patients
Lafayette General Medical Center Inc CurrentSince Sep 17, 2020 Accepting new patients

Locations

136 Hospital Dr
Ste 100
Lafayette, LA 70503
Phone (337) 289-8282

136 Hospital Dr
Ste 201
Lafayette, LA 70503
Phone (337) 289-8282

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

136 Hospital Dr
Ste 101
Lafayette, LA 70503
Phone (337) 289-8282

Interoperability endpoints

  • Direct secure messaging: vkellner1443541@direct.ochsner.org

Organizations & group practices 10

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1407084528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 HOSPITAL DR",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032819",
            "telephone_number": "337-289-8282",
            "fax_number": "337-289-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 HOSPITAL DR",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032819",
            "telephone_number": "337-289-8282",
            "fax_number": "337-289-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLNER",
        "first_name": "VIRGINIA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2009015656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2367731",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "SIMON",
            "middle_name": "ELLEN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.