Individual provider Active NPI

Edward Joseph Lirette, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Slidell, LA
National Provider Identifier
1497861827
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
23751 Issued in LA
Practice address
1001 Gause Blvd
Emergency Room
Slidell, LA 70458-2939
Phone
(985) 649-8542
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 23751 LA Primary

Addresses

Primary practice location

1001 Gause Blvd
Emergency Room
Slidell, LA 70458-2939

Mailing address

1612 Demosthenes St
Metairie, LA 70005
Phone (504) 250-1658

Other identifiers 2

IdentifierTypeStateIssuer
1346365MedicaidLA
F8683OtherLABCBS

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
I20080801000135 LA Practitioner - Internal MedicinePractitioner - Emergency Medicine 0648344168 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023751LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians Louisiana PC Emergency Medicine CurrentSince Jun 1, 2008 Accepting new patients
Vincent Emergency Group, LLC Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
ER Professional Fee Billing C/O Slidell Memorial Hospital Emergency Medical Services Past Accepting new patients
Van Meter MD & Associates Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1497861827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 DEMOSTHENES ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70005",
            "telephone_number": "504-250-1658",
            "fax_number": "210-614-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 GAUSE BLVD",
            "address_2": "EMERGENCY ROOM",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582939",
            "telephone_number": "985-649-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIRETTE",
        "first_name": "EDWARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "LA",
            "license": "23751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346365",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "F8683",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.