Individual provider Active NPI

Eric R Ehlenberger

  • Emergency Medicine Physician
  • Kenner, LA
National Provider Identifier
1518073576
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
014927 Issued in LA
Practice address
2401 Veterans Memorial Blvd Ste 16
Accurate Clinic
Kenner, LA 70062-4779
Phone
(504) 472-6130
Fax
(504) 472-6128
NPI assigned
Aug 22, 2006
Last updated
Feb 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 014927 LA Primary

Addresses

Primary practice location

2401 Veterans Memorial Blvd Ste 16
Accurate Clinic
Kenner, LA 70062-4779

Mailing address

2401 Veterans Memorial Blvd
Suite 16
Kenner, LA 70062-4730
Phone (504) 472-6130

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
I20150210000805 LA Order and Referring Only - Emergency MedicinePractitioner - Emergency Medicine 1456368240

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Keith Van Meter & Associates Past Accepting new patients
Van Meter MD & Associates Past Accepting new patients
Midwest Medical Management, P.C. Emergency Medicine Past Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
MSMD, LLC Emergency Medicine Past 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, 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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1518073576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE 16",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700624730",
            "telephone_number": "504-472-6130",
            "fax_number": "504-472-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 VETERANS MEMORIAL BLVD STE 16",
            "address_2": "ACCURATE CLINIC",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700624779",
            "telephone_number": "504-472-6130",
            "fax_number": "504-472-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHLENBERGER",
        "first_name": "ERIC",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "014927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.