Individual provider Active NPI

Maria Gabriela Espanol Mendez, M.D.

  • Pediatric Hematology & Oncology Physician
  • Metairie, LA
National Provider Identifier
1417302332
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
320681 Issued in LA
Practice address
4720 S 1-10 Service Rd
Suite 401
Metairie, LA 70001
Phone
(504) 988-5433
NPI assigned
Apr 28, 2016
Last updated
Jul 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Hematology & Oncology Physician 2080P0207X 036158633 IL
Pediatric Hematology & Oncology Physician 2080P0207X 320681 LA Primary

Addresses

Primary practice location

4720 S 1-10 Service Rd
Suite 401
Metairie, LA 70001

Mailing address

427 W Northmoor Rd
Peoria, IL 61614-3542
Phone (309) 692-5337

Other practice location 1

427 W Northmoor Rd
Peoria, IL 61614-3542
Phone (309) 692-5337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, LA2 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
I20220802000935 IL Practitioner - Hematology/Oncology 0345586038 Reassigns benefits to 2 organizations
I20250702000032 LA Practitioner - Hematology/OncologyPractitioner - Pediatric Medicine 0345586038 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Pediatric Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Childrens Hospital Medical Practice CorporationGroup PAC ID 5597944579, 48 clinicians

Practice addresses (Care Compare)

200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (504) 899-9511

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036158633ILMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Jul 1, 2025 Accepting new patients
The Bleeding and Clotting Disorders Institute CurrentSince Jan 1, 2025 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Aug 1, 2025 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jul 1, 2025 Accepting new patients
The Bleeding and Clotting Disorders Institute Pediatric Hematology-Oncology CurrentSince Jan 1, 2025 Accepting new patients
Michael D. Tarantino, M.D. S.C. Pediatric Hematology-Oncology CurrentSince Jul 5, 2022 Accepting new patients
Childrens Hospital Medical Practice Corporation CurrentSince Jul 5, 2025 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

427 W Northmoor Rd
Peoria, IL 61614
Phone (309) 692-5337

71211 Highway 21
Ste B
Covington, LA 70433
Phone (985) 893-9922

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

141 Ormond Center Ct
Destrehan, LA 70047
Phone (985) 764-7337

3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

4720 S I 10 Service Rd W
Ste 401
Metairie, LA 70001
Phone (504) 780-6500

4720 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 779-5538

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1430 Tulane Ave
#8050
New Orleans, LA 70112
Phone (504) 988-7808

1430 Tulane Ave
#T
New Orleans, LA 70112

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

Organizations & group practices 8

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": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1417302332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 W NORTHMOOR RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616143542",
            "telephone_number": "309-692-5337",
            "fax_number": "309-693-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 S 1-10 SERVICE RD",
            "address_2": "SUITE 401",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70001",
            "telephone_number": "504-988-5433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "427 W Northmoor Rd",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616143542",
            "country_code": "US",
            "telephone_number": "309-692-5337",
            "fax_number": "309-693-3913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPANOL MENDEZ",
        "first_name": "MARIA",
        "middle_name": "GABRIELA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2025-07-03",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "IL",
            "license": "036158633",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "LA",
            "license": "320681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.