Individual provider Active NPI

Samuel Ramirez, PA-C

  • Physician Assistant
  • New Orleans, LA
National Provider Identifier
1497570659
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
343684 Issued in LA
Practice address
3201 S Carrollton Ave
New Orleans, LA 70118-4307
Phone
(504) 207-3060
NPI assigned
Nov 21, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 343684 LA Primary

Addresses

Primary practice location

3201 S Carrollton Ave
New Orleans, LA 70118-4307

Mailing address

3216 Upperline St
New Orleans, LA 70125-4810
Phone (504) 428-8702

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250206001085 LA Practitioner - Physician Assistant 1052841087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marillac Community Health CentersGroup PAC ID 3678755535, 70 clinicians

Practice addresses (Care Compare)

111 N Causeway Blvd
Metairie, LA 70001-5450
Phone (504) 482-0084

3201 S Carrollton Ave
New Orleans, LA 70118-4307
Phone (504) 207-3060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Marillac Community Health Centers CurrentSince Jan 13, 2025 Accepting new patients
Marillac Community Health Centers CurrentSince Jan 13, 2025 Accepting new patients
Marillac Community Health Centers Past Accepting new patients
Marillac Community Health Centers Past Accepting new patients
Marillac Community Health Centers Past Accepting new patients
Marillac Community Health Centers Past Accepting new patients

Locations

1629 Westbank Expy
Harvey, LA 70058
Phone (504) 367-8777

3715 Williams Blvd
Ste 220
Kenner, LA 70065
Phone (504) 468-4437

3116 6th St
Ste 101
Metairie, LA 70002
Phone (504) 837-9000

111 N Causeway Blvd
Metairie, LA 70001
Phone (504) 482-0084

1030 Lesseps St
New Orleans, LA 70117
Phone (504) 207-6287

100 Warrington Dr
New Orleans, LA 70122
Phone (504) 667-4300

3303 Higgins Blvd
New Orleans, LA 70126
Phone (504) 948-2873

3201 S Carrollton Ave
New Orleans, LA 70118
Phone (504) 207-3019

2801 General Degaulle Dr
Ste A
New Orleans, LA 70114
Phone (504) 362-8930

5630 Read Blvd
New Orleans, LA 70127
Phone (504) 248-5357

3215 General Meyer Ave
New Orleans, LA 70114
Phone (504) 362-8930

Organizations & group practices 7

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": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1497570659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 UPPERLINE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701254810",
            "telephone_number": "504-428-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S CARROLLTON AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701184307",
            "telephone_number": "504-207-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "343684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.