Individual provider Active NPI

Gerald Anthony Cvitanovich, M.D.

  • Family Medicine Physician
  • Kenner, LA
National Provider Identifier
1437101110
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
019027 Issued in LA
Practice address
708 W Esplanade Ave
Kenner, LA 70065-2736
Phone
(504) 461-9660
Fax
(504) 461-8450
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 019027 LA
Family Medicine Physician 207Q00000X 019027 LA Primary

Addresses

Primary practice location

708 W Esplanade Ave
Kenner, LA 70065-2736

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 914-6074

Other identifiers 1

IdentifierTypeStateIssuer
1443964MedicaidLA

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
I20050527000561 LA Practitioner - Family Practice 2860434982 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19027LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Apr 1, 2017 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Apr 1, 2017 Accepting new patients
Ochsner Clinic LLC Emergency Medicine Past Accepting new patients
Bol Medical L.L.C. Past Accepting new patients
ER Professional Fee Billing C/O Slidell Memorial Hospital Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

1111 Greengate Dr
Ste B
Covington, LA 70433
Phone (985) 246-2420

27342 Juban Rd
Ste 102
Denham Springs, LA 70726
Phone (225) 388-6130

5922 W Main St
Ste A
Houma, LA 70360
Phone (985) 262-8015

708 W Esplanade Ave
Kenner, LA 70065
Phone (504) 461-9660

3417 Williams Blvd
Kenner, LA 70065
Phone (504) 461-9660

12895 Highway 90
Ste H
Luling, LA 70070
Phone (985) 331-9400

2735 Highway 190
Ste D
Mandeville, LA 70471
Phone (985) 778-2510

1625 Barataria Blvd
#A
Marrero, LA 70072
Phone (504) 309-5015

1849 Barataria Blvd
Ste B
Marrero, LA 70072
Phone (504) 309-5015

2215 Veterans Memorial Blvd
Metairie, LA 70002
Phone (504) 838-3524

4605 Magazine St
New Orleans, LA 70115
Phone (504) 883-8111

111 Allen Toussaint Blvd
Ste C
New Orleans, LA 70124
Phone (504) 286-2001

231 N Carrollton Ave
Ste B
New Orleans, LA 70119
Phone (504) 218-4853

6400 Press Dr
Fl Second
New Orleans, LA 70126

1514 Jefferson Hwy
New Orleans, LA 70121

4100 Canal St
New Orleans, LA 70119
Phone (504) 703-2750

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

104 Acadia Park Dr
#9390
Raceland, LA 70394
Phone (225) 336-3100

9605 Jefferson Hwy
Ste G
River Ridge, LA 70123
Phone (337) 853-0999

9605 Jefferson Hwy
River Ridge, LA 70123
Phone (504) 738-1604

318 N Canal Blvd
Thibodaux, LA 70301
Phone (985) 446-3276

Interoperability endpoints

  • Direct secure messaging: gcvitanovich144151@direct.ochsner.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1437101110",
    "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": "504-914-6074",
            "fax_number": "504-831-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 W ESPLANADE AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652736",
            "telephone_number": "504-461-9660",
            "fax_number": "504-461-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CVITANOVICH",
        "first_name": "GERALD",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "019027",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "019027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1443964",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.