Active NPI
Jay K Kolls, MD
- Specialist
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD422162
- Practice address
- 200 Henry Clay Ave
New Orleans, LA 70118-5720 - Phone
- (504) 988-0456
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | MD.018641 | LA | |
| Specialist | 174400000X | MD422162 | PA | Primary |
Addresses
Primary practice location
200 Henry Clay Ave
New Orleans, LA 70118-5720
Mailing address
1430 Tulane Ave # 8550
New Orleans, LA 70112-2632
Phone (504) 988-0456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001948760 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018641 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Children'S Hospital | Current | Accepting new patients | |
| Children'S Hospital | Specialist | Current | Accepting new patients |
| Childrens Hospital Medical Practice Corporation | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Specialist | Current | Accepting new patients |
| Administrators of the Tulane Educational Fund | Specialist | Current | Accepting new patients |
| Lsu Medical Center | Past | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Specialist | Past | Accepting new patients |
Locations
141 Ormond Center Ct
Destrehan, LA 70047
Phone (985) 764-7337
3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880
2021 Perdido St
New Orleans, LA 70112
Phone (504) 412-1800
1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860
1430 Tulane Ave
#8550
New Orleans, LA 70112
2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741
3705 Desoto St
Pittsburgh, PA 15213
Phone (412) 692-5260
519 Penn Ave
Ste 206
Turtle Creek, PA 15145
Phone (412) 823-3121
Organizations & group practices 10
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.
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-
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- NPI 1619935004
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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- NPI 1568597649
-
- Specialist
- Hattiesburg, MS
- NPI 1033395298
-
- Pediatrics Physician
- Pittsburgh, PA
- NPI 1225096639
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1477582526
Specialist
-
- Speech-Language Pathologist
- New Orleans, LA
- NPI 1588737803
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": "1545091200000",
"number": "1447224860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 TULANE AVE # 8550",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122632",
"telephone_number": "504-988-0456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HENRY CLAY AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701185720",
"telephone_number": "504-988-0456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLLS",
"first_name": "JAY",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2018-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "LA",
"license": "MD.018641",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD422162",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001948760",
"state": "PA"
}
],
"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 Dec 18, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.