Individual provider Active NPI

Anthony Elvie Zerangue, M.D.

  • Internal Medicine Physician
  • Hammond, LA
National Provider Identifier
1477523538
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12978R Issued in LA
Practice address
112 Commerce St
Hammond, LA 70403-5837
Phone
(985) 662-5331
Fax
(985) 662-5338
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12978R LA Primary

Addresses

Primary practice location

112 Commerce St
Hammond, LA 70403-5837

Mailing address

112 Commerce St
Hammond, LA 70403-5837
Phone (985) 662-5331

Other identifiers 1

IdentifierTypeStateIssuer
1422428MedicaidLA

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
I20041215000644 LA Practitioner - Internal Medicine 6608833207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 Commerce St
Hammond, LA 70403-5837
Phone (985) 662-5331

Hospital & facility affiliations

  • North Oaks Medical Center Hospital, Hammond, LA, CCN 190015
  • Hood Memorial Hospital Hospital, Amite, LA, CCN 191309

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12978RLAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zerangue Internal Medicine Internal Medicine CurrentSince Nov 7, 2011 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Northshore Internal Medicine Associates Internal Medicine Past Accepting new patients

Locations

112 Commerce St
Hammond, LA 70403
Phone (985) 662-5331

15784 Medical Arts Dr
Ste B
Hammond, LA 70403
Phone (985) 230-7400

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1477523538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 COMMERCE ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035837",
            "telephone_number": "985-662-5331",
            "fax_number": "985-662-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 COMMERCE ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035837",
            "telephone_number": "985-662-5331",
            "fax_number": "985-662-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERANGUE",
        "first_name": "ANTHONY",
        "middle_name": "ELVIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "12978R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1422428",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.