Active NPI
Joseph Sampognaro III, M.D.
- Internal Medicine Physician
- New Orleans, LA
National Provider Identifier
1477668168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 013270
- Practice address
- 145 Robert E Lee Blvd
Ste. 402
New Orleans, LA 70124-2552 - Phone
- (504) 282-5398
- Fax
- (504) 282-7232
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 013270 | LA | Primary |
Addresses
Primary practice location
145 Robert E Lee Blvd
Ste. 402
New Orleans, LA 70124-2552
Mailing address
3601 Houma Blvd
Ste 402
Metairie, LA 70006-4310
Phone (504) 282-5398
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1183300 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013270 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph Sampognaro III | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Metairie, LA
- NPI 1942453865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1477668168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 HOUMA BLVD",
"address_2": "STE 402",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700064310",
"telephone_number": "504-282-5398",
"fax_number": "504-282-7232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 ROBERT E LEE BLVD",
"address_2": "STE. 402",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701242552",
"telephone_number": "504-282-5398",
"fax_number": "504-282-7232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPOGNARO",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "013270",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1183300",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.