Individual provider Active NPI

Paul A.R. Ikemire, MD

  • General Practice Physician
  • New Orleans, LA
National Provider Identifier
1477870210
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C159092 Issued in CA
Practice address
719 Okeefe Ave
New Orleans, LA 70113-1906
Phone
(504) 372-2948
Fax
(504) 617-6371
NPI assigned
May 3, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD.205087 LA
General Practice Physician 208D00000X C159092 CA Primary

Addresses

Primary practice location

719 Okeefe Ave
New Orleans, LA 70113-1906

Mailing address

111 Water St Ste 4
Exeter, NH 03833-2456
Phone (504) 717-3050

Other practice location 1

121 E 60th St Apt 2D
New York, NY 10022-1164
Phone (504) 717-3050

Other practice location 2

87 Scripps Dr Ste 100
Sacramento, CA 95825-6379
Phone (916) 500-8086

Other practice location 3

2701 General Degaulle Dr
New Orleans, LA 70114-6222
Phone (504) 717-3050

Other identifiers 2

IdentifierTypeStateIssuer
C159092OtherCAMEDICAL BOARD OF CALIFORNIA
2108794MedicaidLA

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
I20161025002805 LA Practitioner - Family Practice 4789983511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tulane University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

719 Okeefe Ave
New Orleans, LA 70113-1906
Phone (504) 381-4204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C159092CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nightwater Health of New York, PC PastSince Dec 1, 2022 Accepting new patients
Nightwater Health, Inc PastSince Oct 24, 2021 Accepting new patients
Nightwater Health of California Apmc General Practice PastSince Apr 17, 2022 Accepting new patients
Nightwater Health of New Hampshire Inc PastSince Dec 12, 2021 Accepting new patients

Organizations & group practices 5

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": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1477870210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WATER ST STE 4",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332456",
            "telephone_number": "504-717-3050",
            "fax_number": "504-617-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 OKEEFE AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701131906",
            "telephone_number": "504-372-2948",
            "fax_number": "504-617-6371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 E 60th St Apt 2D",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100221164",
            "country_code": "US",
            "telephone_number": "504-717-3050",
            "fax_number": "504-617-6371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "87 Scripps Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958256379",
            "country_code": "US",
            "telephone_number": "916-500-8086",
            "fax_number": "504-617-6371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2701 General Degaulle Dr",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701146222",
            "country_code": "US",
            "telephone_number": "504-717-3050",
            "fax_number": "504-617-6371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IKEMIRE",
        "first_name": "PAUL",
        "middle_name": "A.R.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-03",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "MD.205087",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "C159092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "C159092",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2108794",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.