Individual provider Active NPI

Enrique Segura, MD

  • Neurology Physician
  • Metairie, LA
National Provider Identifier
1508036195
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD.202204 Issued in LA
Practice address
3800 Houma Blvd
Ste 205
Metairie, LA 70006-4151
Phone
(504) 885-7337
Fax
(504) 456-5172
NPI assigned
Mar 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD.202204 LA Primary
Neurology Physician 2084N0400X 0101268488 VA
Neurology Physician 2084N0400X 202204 LA

Addresses

Primary practice location

3800 Houma Blvd
Ste 205
Metairie, LA 70006-4151

Mailing address

3800 Houma Blvd
Ste 205
Metairie, LA 70006-4151
Phone (504) 885-7337

Other practice location 1

12200 Warwick Blvd Ste 110
Newport News, VA 23601-2344
Phone (757) 534-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20110520000143 LA Practitioner - Neurology 1456537786 Reassigns benefits to 1 organization
I20200217002570 VA Practitioner - Hospitalist 1456537786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University Central del Caribe Escuela de Medicina, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3800 Houma Blvd
Suite 325
Metairie, LA 70006-4184
Phone (504) 885-7337

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202204LAMDNeurology Physician
0101268488VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services, Inc. Neurology CurrentSince Jan 16, 2020 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Riverside Physician Services Inc CurrentSince Jan 16, 2020 Accepting new patients
Northlake Neurological Institute LLC Neurology Past Accepting new patients

Locations

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

12200 Warwick Blvd
Ste 110
Newport News, VA 23601
Phone (757) 534-5100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3401/brand/1/csg/1/fhir/r4
  • Direct secure messaging: enrique.segura@direct.ejgh.org

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1508036195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HOUMA BLVD",
            "address_2": "STE 205",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064151",
            "telephone_number": "504-885-7337",
            "fax_number": "504-456-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HOUMA BLVD",
            "address_2": "STE 205",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064151",
            "telephone_number": "504-885-7337",
            "fax_number": "504-456-5172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12200 Warwick Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236012344",
            "country_code": "US",
            "telephone_number": "757-534-5100",
            "fax_number": "757-534-5395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEGURA",
        "first_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-10",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "MD.202204",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101268488",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "202204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.