Active NPI
Elliot Michael Jessie, M.D.
- Surgery Physician
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 338699
- Practice address
- 1514 Jefferson Hwy
New Orleans, LA 70121-2429 - Phone
- (504) 842-4070
- Fax
- (504) 842-3124
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0101235183 | VA | |
| Surgical Critical Care Physician | 2086S0102X | D0068876 | MD | |
| Trauma Surgery Physician | 2086S0127X | D0068876 | MD | |
| Surgery Physician | 208600000X | 338699 | LA | Primary |
Addresses
Primary practice location
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Mailing address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000
Other practice location 1
22 S Greene St
Baltimore, MD 21201-1544
Phone (410) 328-6704
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 417757600 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, LA
- 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
- General Surgery
- Education
- Tulane University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101235183 | VA | MD | Surgery Physician |
| D0068876 | MD | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Surgery | Current | Accepting new patients |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Shock Trauma Associates, P.a. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Ochsner Clinic Foundation | Past | Accepting new patients |
Locations
1514 Jefferson Hwy
New Orleans, LA 70121
2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650
1516 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 833-2337
110 S Paca St
#38
Baltimore, MD 21201
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
Interoperability endpoints
- jelliot1937937@direct.ochsner.org
Organizations & group practices 6
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.
-
dba Shock Trauma Associates
- Emergency Care Clinic/Center
- Baltimore, MD
- NPI 1679512909
-
dba Diabetes Prevention Program
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
dba Ochsner Urgent Care - Westbank
- General Practice Physician
- Marrero, LA
- NPI 1811436777
-
dba Ochsner Medical Center Acute
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ochsner Medical Center Acute
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695340800000",
"number": "1417921735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 JEFFERSON HWY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701212429",
"telephone_number": "504-842-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 JEFFERSON HWY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701212429",
"telephone_number": "504-842-4070",
"fax_number": "504-842-3124"
}
],
"practiceLocations": [
{
"address_1": "22 S Greene St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212011544",
"country_code": "US",
"telephone_number": "410-328-6704",
"fax_number": "410-328-4124",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JESSIE",
"first_name": "ELLIOT",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101235183",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "MD",
"license": "D0068876",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "MD",
"license": "D0068876",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "338699",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "417757600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.