Individual provider Active NPI

Jay K Kolls, MD

  • Specialist
  • New Orleans, LA
National Provider Identifier
1447224860
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD422162 Issued in PA
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

Updated by the provider on Dec 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001948760MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091109000482 LA Practitioner - Pulmonary DiseasePractitioner - Pediatric Medicine 2961540166 Reassigns benefits to 3 organizations
I20120418000778 PA Practitioner - Pediatric MedicinePractitioner - Pulmonary DiseasePractitioner - Internal Medicine 2961540166 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018641LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Mar 6, 2012 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Mar 6, 2012 Accepting new patients
Children'S Hospital CurrentSince Dec 15, 2018 Accepting new patients
Children'S Hospital Specialist CurrentSince Dec 15, 2018 Accepting new patients
Childrens Hospital Medical Practice Corporation CurrentSince Jan 1, 2019 Accepting new patients
Administrators of the Tulane Educational Fund Specialist CurrentSince Sep 12, 2017 Accepting new patients
Administrators of the Tulane Educational Fund Specialist CurrentSince Sep 12, 2017 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.

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

Verify at the official NPI Registry.