Active NPI
Virginia Kellner, M.D.
- Neurology Physician
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 2009015656
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2367731 | Medicaid | LA |
Other names 1
- Virginia Ellen Simon
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
Enrollment records 1
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
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
- Our Lady of Lourdes Regional Medical Center, Inc
- Abrom Kaplan Memorial Hospital
- Iberia Medical Center
- Ochsner St Martin Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009015656 | MO | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette Health Ventures, Inc | Current | Accepting new patients | |
| Lafayette Health Ventures Inc | Current | Accepting new patients | |
| University Hospital & Clinics Inc | Current | Accepting new patients | |
| Lafayette General Medical Center Inc. | Current | Accepting new patients | |
| University Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Lsuhn Billing LLC | Current | Accepting new patients | |
| Lsuhn Billing LLC | Current | Accepting new patients | |
| Lafayette Health Ventures Inc | Current | Accepting new patients | |
| Lafayette General Medical Center Inc. | Current | Accepting new patients | |
| Lafayette General Medical Center Inc | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Lafayette, LA
- NPI 1649408832
-
- Family Medicine Physician
- Lafayette, LA
- NPI 1417986092
-
- Multi-Specialty Clinic/Center
- Lafayette, LA
- NPI 1992975775
-
- Anesthesiology Physician
- Lafayette, LA
- NPI 1639518087
-
- Specialist
- Lafayette, LA
- NPI 1518577030
-
- Community/Retail Pharmacy
- Lafayette, LA
- NPI 1023638715
-
- Anesthesiology Physician
- Jennings, LA
- NPI 1063124568
-
- Internal Medicine Physician
- Lafayette, LA
- NPI 1467687186
-
- Oral and Maxillofacial Surgery (Dentist)
- Baton Rouge, LA
- NPI 1306247556
-
- Community/Retail Pharmacy
- Lafayette, LA
- NPI 1740739044
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New Iberia, LA
- NPI 1992159925
-
- General Acute Care Hospital
- New Iberia, LA
- NPI 1285601088
-
- Critical Access Hospital
- Kaplan, LA
- NPI 1245617562
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1598766495
-
- Critical Access Hospital
- Breaux Bridge, LA
- NPI 1437482817
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.