Active NPI
Glen J. Kesler, M.D.
- Internal Medicine Physician
- Covington, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 017291
- Practice address
- 80 Gardenia Drive
Suite B
Covington, LA 70433-9168 - Phone
- (985) 871-5900
- Fax
- (985) 871-5911
- NPI assigned
- Jul 16, 2006
- Last updated
- Sep 17, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 017291 | LA | Primary |
Addresses
Primary practice location
80 Gardenia Drive
Suite B
Covington, LA 70433-9168
Mailing address
80 Gardenia Drive
Suite B
Covington, LA 70433-9168
Phone (985) 871-5900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356794 | Medicaid | LA |
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
- Internal Medicine
- Education
- Louisiana State University School of Medicine in New Orleans, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1202 S Tyler St
Covington, LA 70433-2330
Phone (985) 898-3743
80 Gardenia Dr
Covington, LA 70433-9194
Phone (985) 871-5900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17291 | LA | MD | Pharmacist |
| 017291 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Tammany Parish Hospital Service District No 1 | Current | Accepting new patients |
Locations
1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743
Organizations & group practices 2
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.
-
dba St. Tammany Parish Hospital
- General Acute Care Hospital
- Covington, LA
- NPI 1598798597
-
dba St Tammany Physicians Network
- Internal Medicine Physician
- Covington, LA
- NPI 1083793582
Hospital & facility affiliations 12
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
-
dba Riverside Pediatrics and Internal Medicine Clinic
- Clinic/Center
- Franklinton, LA
- NPI 1093189797
Hospital
-
dba Riverside Surgical Clinic
- Clinic/Center
- Franklinton, LA
- NPI 1104290949
Hospital
-
dba Riverside Cardiology Clinic
- Clinic/Center
- Franklinton, LA
- NPI 1538634977
Hospital
-
- Critical Access Hospital
- Franklinton, LA
- NPI 1700874062
-
dba Riverside Specialty Clinic
- Clinic/Center
- Franklinton, LA
- NPI 1710438361
Hospital
-
dba Riverside Internal Medicine Clinic
- Clinic/Center
- Franklinton, LA
- NPI 1952751679
Hospital
-
dba St Tammany Physicians Network
- Internal Medicine Physician
- Covington, LA
- NPI 1083793582
Hospital
-
dba Northlake Pulmonary Associates at St Tammany Parish Hospital
- Pulmonary Disease Physician
- Covington, LA
- NPI 1285285874
Hospital
-
- Home Health Agency
- Madisonville, LA
- NPI 1568483550
-
dba St. Tammany Parish Hospital
- General Acute Care Hospital
- Covington, LA
- NPI 1598798597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347840000000",
"number": "1427075423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 GARDENIA DRIVE",
"address_2": "SUITE B",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704339168",
"telephone_number": "985-871-5900",
"fax_number": "985-871-5911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 GARDENIA DRIVE",
"address_2": "SUITE B",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704339168",
"telephone_number": "985-871-5900",
"fax_number": "985-871-5911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESLER",
"first_name": "GLEN",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-16",
"last_updated": "2012-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "017291",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356794",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.