Individual provider Active NPI

Joseph Sampognaro III, M.D.

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1477668168
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
013270 Issued in LA
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

Updated by the provider on Sep 9, 2020

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 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

IdentifierTypeStateIssuer
1183300MedicaidLA

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

LicenseStateTypeSpecialty
013270LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Sampognaro III Internal Medicine PastSince Jan 1, 1990 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.

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.

Verify at the official NPI Registry.