Paul Gerard Pelts, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

08889R Issued in LA

Practice address

1539 Jackson Ave
Suite 300
New Orleans, LA 70130-5858

Phone

(504) 581-3933

Fax

(504) 596-3933

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2018 through Apr 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bayou Healthcare, LLC

  dba Crossroads Regional Hospital

  • Psychiatric Hospital
  • Alexandria, LA
  • NPI 1083898571

  Psychiatry

  NPD (past)
• Louisiana Department of Health, Department of Health and Hospitals

  dba John J. Hainkel Jr. Home and and Rehabilitation Center

  • Skilled Nursing Facility
  • New Orleans, LA
  • NPI 1730674557
  NPD (past)
• Pelts, Kirkhart, Major and Associates, LLC

  • Clinical Psychologist
  • New Orleans, LA
  • NPI 1013047976

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477642676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 JACKSON AVE",
            "address_2": "SUITE 300",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305858",
            "telephone_number": "504-581-3933",
            "fax_number": "504-596-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 JACKSON AVE",
            "address_2": "SUITE 300",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305858",
            "telephone_number": "504-581-3933",
            "fax_number": "504-596-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTS",
        "first_name": "PAUL",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "08889R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992941",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Joseph Pellerito, MA, ATC
• Colette Pellissier, CSW
• Jessica Peltier
• Kathryn Peltier
• Pelts, Kirkhart, Major and Associates, LLC
• Mariette Nicole Pena Rivera, PHARMD
• Brian Keith Pena, CRNA
• Jose Manuel Pena, M.D.
• Maria Paula Pena
• Natosha Pena

• Psychiatry Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.