Individual provider Active NPI

Gabriel Lasala, M.D.

  • Cardiovascular Disease Physician
  • Covington, LA
National Provider Identifier
1477534295
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
10402R Issued in LA
Practice address
101 Judge Tanner Blvd Ste 300
Covington, LA 70433-7506
Phone
(985) 867-2100
Fax
(985) 871-1548
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 10402R LA Primary

Addresses

Primary practice location

101 Judge Tanner Blvd Ste 300
Covington, LA 70433-7506

Mailing address

101 Judge Tanner Blvd Ste 300
Covington, LA 70433-7506
Phone (985) 867-2100

Other identifiers 1

IdentifierTypeStateIssuer
1967297MedicaidLA

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
I20101227000312 LA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 8527960178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Interventional Cardiology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Jefferson Physicians Group LLCGroup PAC ID 4587660402, 211 clinicians

Practice addresses (Care Compare)

101 Judge Tanner Blvd
Suite 300
Covington, LA 70433-7506
Phone (985) 867-2100

Hospital & facility affiliations

  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
  • Riverside Medical Center Hospital, Franklinton, LA, CCN 191313
  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045
  • Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting33
Pacemaker insertion or repair1-10
Varicose vein removal13
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10402RLAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC CurrentSince Mar 1, 2023 Accepting new patients
Metairie Physician Services Inc. Cardiovascular Disease Past Accepting new patients
Lakeview Regional Physician Group LLC PastSince Feb 1, 2022 Accepting new patients

Locations

101 Judge Tanner Blvd
Ste 300
Covington, LA 70433
Phone (985) 888-8750

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

101 Judge Tanner Blvd
Ste 106
Covington, LA 70433
Phone (985) 867-2128

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

4228 Houma Blvd
Ste 200
Metairie, LA 70006
Phone (504) 454-7878

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1477534295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 JUDGE TANNER BLVD STE 300",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337506",
            "telephone_number": "985-867-2100",
            "fax_number": "985-871-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JUDGE TANNER BLVD STE 300",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337506",
            "telephone_number": "985-867-2100",
            "fax_number": "985-871-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASALA",
        "first_name": "GABRIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "10402R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1967297",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.