Carlos Andres Cevallos Chonillo, M.D.
Individual provider Active NPI Neurology Physician · Chalmette, LA
NPI 1437772191 · NPPES record last updated Aug 22, 2024
Key facts
- NPI
- 1437772191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 343484 (LA)
- Practice address
- 8000 W Judge Perez Dr
Chalmette, LA 70043-1668 - Phone
- (504) 304-2800
- Fax
- (504) 826-9489
- NPI assigned
- May 28, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ochsner Clinic LLC
Practice addresses (Care Compare)
8050 W Judge Perez Dr
Ochsner Health Center St Bernard
Chalmette, LA 70043-1734
Phone (504) 304-2800
Hospital & facility affiliations
- Ochsner Medical Center Acute
- Ochsner St Anne General Hospital
- St Charles Parish Hospital
- Leonard J Chabert Medical Center
- Slidell Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in LA, MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240906000408 | LA | Practitioner - Neurology | 5698215507 | Reassigns benefits to 2 organizations |
| I20241108002474 | MS | Practitioner - Neurology | 5698215507 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Bayou LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current |
Accepting new patients | |
| Ochsner Clinic LLC | Current |
Accepting new patients | |
| Ochsner Mississippi, LLC | Current |
Accepting new patients | |
| Ochsner Clinic LLC | Current |
Accepting new patients |
Locations
8050 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 304-2800
1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
141 Twin Oaks Dr
Raceland, LA 70394
Phone (985) 447-3889
149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600
Interoperability endpoints
- ccevallos913871@direct.ochsner.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurology Physician | 2084N0400X | 343484 | LA | Yes |
Addresses
Primary practice location
8000 W Judge Perez Dr
Chalmette, LA 70043-1668
Mailing address
1514 Jefferson Hwy,
New Orleans, LA 70121
Phone (504) 842-4000
Other providers in Chalmette, LA
- Cathy E. Moore'S Respite Care & Pca Services, Inc.
- Cathy E. Moore'S Respite Care & Pca Services, Inc.
- Shermese Florel Ceaser
- Cedar & Sol Counseling Services
- Christine Cervera
- Chalmette Dental Associates, LLC
- Chalmette Dialysis Center
- Chalmette Medical Center, Inc.
- Chalmette Medical Center, Inc.
- Chalmette Medical Center, Inc.
All providers in Chalmette, LA · Neurology Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.