Individual provider Active NPI

Randall Scott Juleff, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Mandeville, LA
National Provider Identifier
1487615142
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
09083R Issued in LA
Practice address
4080 Lonesome Rd Ste a
Mandeville, LA 70448-7093
Phone
(985) 892-2950
Fax
(985) 892-2980
NPI assigned
Mar 31, 2006
Last updated
Jun 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 09083R LA Primary

Addresses

Primary practice location

4080 Lonesome Rd Ste a
Mandeville, LA 70448-7093

Mailing address

1431 Ochsner Blvd
Suite B
Covington, LA 70433-8110
Phone (985) 892-2950

Other practice location 1

3100 Galleria Dr Ste 200
Metairie, LA 70001-2196
Phone (504) 836-6000

Other identifiers 1

IdentifierTypeStateIssuer
1660043MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MO, HI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040123000372 LA Practitioner - Cardiac Surgery 0749182392 Reassigns benefits to 1 organization
I20070710000912 MO Practitioner - Cardiac SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 0749182392 Reassigns benefits to 1 organization
I20111025000694 HI Practitioner - Vascular SurgeryPractitioner - Thoracic Surgery 0749182392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Thoracic Surgery
Education
Wayne State University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vein Clinics of Hawaii, LLCGroup PAC ID 9436395142, 5 clinicians
Cardiovascular and Thoracic Surgeons of the South, LLCGroup PAC ID 8527215003, 3 clinicians

Practice addresses (Care Compare)

140 N Market St
Wailuku, HI 96793-1732
Phone (808) 214-5715

4080 Lonesome Rd
Suite a
Mandeville, LA 70448-7093
Phone (985) 892-2950

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal789

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09083RLAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular and Thoracic Surgeons of the South, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jul 18, 2012 Accepting new patients
Vein Clinics of Hawaii LLC CurrentSince Feb 25, 2013 Accepting new patients
Central Missouri Cardiovascular Associates, Inc. CurrentSince Feb 1, 2009 Accepting new patients
Shondra L Smith, MD Dermatology & Advanced Aesthetics, LLC Past Accepting new patients
Tchefuncte Cardiovascular Associates PastSince Oct 4, 2010 Accepting new patients

Locations

670 Ponahawai St
Ste 220
Hilo, HI 96720
Phone (808) 885-4401

1441 Kapiolani Blvd
Ste 1902
Honolulu, HI 96814
Phone (808) 885-4401

65-1158 Mamalahoa Hwy
Ste 16
Kamuela, HI 96743
Phone (808) 885-4401

1001 Kamokila Blvd
Ste 226
Kapolei, HI 96707
Phone (808) 885-4401

3214 Akahi St
Lihue, HI 96766
Phone (808) 214-5715

140 N Market St
Wailuku, HI 96793
Phone (808) 214-5715

140 N Market St
Ste 103
Wailuku, HI 96793

1431 Ochsner Blvd
Ste B
Covington, LA 70433
Phone (985) 892-2950

1800 Ryan St
Ste 106
Lake Charles, LA 70601
Phone (318) 494-5599

4080 Lonesome Rd
Ste A
Mandeville, LA 70448
Phone (985) 892-2950

3100 Galleria Dr
Ste 200
Metairie, LA 70001
Phone (504) 354-8567

4224 Houma Blvd
Ste 260
Metairie, LA 70006
Phone (504) 887-5555

5780 Osage Beach Pkwy
Ste 200
Osage Beach, MO 65065
Phone (573) 302-0032

1708 W Main St
Sedalia, MO 65301
Phone (573) 302-0032

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1487615142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 OCHSNER BLVD",
            "address_2": "SUITE B",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338110",
            "telephone_number": "985-892-2950",
            "fax_number": "985-892-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 LONESOME RD STE A",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704487093",
            "telephone_number": "985-892-2950",
            "fax_number": "985-892-2980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Galleria Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700012196",
            "country_code": "US",
            "telephone_number": "504-836-6000",
            "fax_number": "985-892-2980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JULEFF",
        "first_name": "RANDALL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "LA",
            "license": "09083R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1660043",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.