Active NPI
Derek Mimeles, MD
- Specialist
- Metairie, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 10645R
- Practice address
- 3510 N Causeway Blvd Ste 404
Metairie, LA 70002-3531 - Phone
- (504) 779-5568
- NPI assigned
- Jun 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 10645R | Primary |
Addresses
Primary practice location
3510 N Causeway Blvd Ste 404
Metairie, LA 70002-3531
Mailing address
744 W Michigan Ave
Jackson, MI 49201-1909
Phone (517) 787-6440
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Louisiana State University School of Medicine in New Orleans, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Medical Ctr Blvd
Marrero, LA 70072-3147
Phone 8662148600203
2701 Lake Villa Dr
Metairie, LA 70002-6701
Phone (504) 832-2115
694 Belle Terre Blvd
La Place, LA 70068-1620
Phone (985) 359-6694
Hospital & facility affiliations
- Touro Infirmary
- West Jefferson Medical Center
- St Charles Surgical Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthomed Staffing LLC | Anesthesiology | Current | Accepting new patients |
| Jefferson Anesthesia Consultants | Anesthesiology | Current | Accepting new patients |
| Childrens Hospital Anesthesia Corporation | Anesthesiology | Current | Accepting new patients |
| Zephyr Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| Parish Anesthesia of Monroe, LLC | Specialist | Past | Accepting new patients |
| Parish Anesthesia Endoscopy of Lafayette, LLC | Anesthesiology | Past | Accepting new patients |
Locations (25 of 28)
323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600
8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078
1234 Pinnacle Pkwy
Covington, LA 70433
Phone (985) 200-1213
95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800
4407 Highway 190 East Service Rd
Ste 200
Covington, LA 70433
Phone (985) 234-9700
191 Innovation Ct
Ste A
Gray, LA 70359
Phone (985) 303-4050
3704 Lapalco Blvd
Harvey, LA 70058
Phone (504) 207-5320
694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694
1645 Lutcher Ave
Lutcher, LA 70071
Phone (225) 258-5901
4633 Wichers Dr
Marrero, LA 70072
Phone (504) 347-5421
1111 Medical Center Blvd
Marrero, LA 70072
Phone (504) 349-2332
1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511
4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028
3717 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 456-1515
2701 Lake Villa Dr
Metairie, LA 70002
Phone (504) 274-3100
4324 Veterans Memorial Blvd
Ste 102
Metairie, LA 70006
720 Veterans Memorial Blvd
Ste 100
Metairie, LA 70005
Phone (504) 293-4955
1207 N Causeway Blvd
Metairie, LA 70001
Phone (504) 832-2115
4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453
2520 Harvard Ave
Ste 2A
Metairie, LA 70001
Phone (504) 378-3668
3434 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 454-2017
1717 Saint Charles Ave
New Orleans, LA 70130
Phone (504) 529-6600
1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860
2701 Napoleon Ave
New Orleans, LA 70115
Phone (504) 267-2805
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- New Orleans, LA
- NPI 1649362740
-
- Anesthesiology Physician
- Kenner, LA
- NPI 1639816374
-
- Anesthesiology Physician
- La Place, LA
- NPI 1891087458
-
- Anesthesiology Physician
- Lafayette, LA
- NPI 1568690139
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- New Orleans, LA
- NPI 1639323595
-
- Rehabilitation Hospital Unit
- New Orleans, LA
- NPI 1588817878
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1821098286
-
- General Acute Care Hospital
- Marrero, LA
- NPI 1265437644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1477597490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 W MICHIGAN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011909",
"telephone_number": "517-787-6440",
"fax_number": "517-787-6440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3510 N CAUSEWAY BLVD STE 404",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700023531",
"telephone_number": "504-779-5568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIMELES",
"first_name": "DEREK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": "10645R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.