Individual provider Active NPI

Robert Douglas Bostick III, M.D.

  • Orthopaedic Surgery Physician
  • Metairie, LA
National Provider Identifier
1518916915
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
023026 Issued in LA
Practice address
3001 Division St Ste 204
Metairie, LA 70002
Phone
(504) 541-5800
Fax
(504) 541-5801
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 023026 LA Primary

Addresses

Primary practice location

3001 Division St Ste 204
Metairie, LA 70002

Mailing address

3001 Division St Ste 204
Metairie, LA 70002-5855
Phone (504) 541-5800

Other practice location 1

920 Avenue B
Marrero, LA 70072-3112
Phone (504) 349-6804

Other identifiers 5

IdentifierTypeStateIssuer
1483192MedicaidLA
200045552OtherLARR MEDICARE INDIVIDUAL
1792217OtherLAMEDICAID GROUP
CK4990OtherLARAILROAD MEDICARE GROUP
5B353OtherLAMEDICARE GROUP

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
I20100818001287 LA Practitioner - Orthopedic Surgery 8921198714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Louisiana State University School of Medicine in New Orleans, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metairie Orthopedics and Sports MedicineGroup PAC ID 6406189869, 4 clinicians

Practice addresses (Care Compare)

3001 Division St
Suite 204
Metairie, LA 70002-5855
Phone (504) 541-5800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023026LAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Group, LLC Current Accepting new patients
Metairie Orthopedics & Sports Medicine Orthopaedic Surgery CurrentSince May 1, 2019 Accepting new patients

Locations

3001 Division St
Ste 204
Metairie, LA 70002
Phone (504) 541-5800

Interoperability endpoints

  • Direct secure messaging: robert.bostick@24927.chartlogic.direct-ci.com

Organizations & group practices 2

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1518916915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 DIVISION ST STE 204",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025855",
            "telephone_number": "504-541-5800",
            "fax_number": "504-541-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 DIVISION ST STE 204",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70002",
            "telephone_number": "504-541-5800",
            "fax_number": "504-541-5801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Avenue B",
            "address_purpose": "LOCATION",
            "city": "Marrero",
            "state": "LA",
            "postal_code": "700723112",
            "country_code": "US",
            "telephone_number": "504-349-6804",
            "fax_number": "504-349-6844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSTICK",
        "first_name": "ROBERT",
        "middle_name": "DOUGLAS",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "023026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1483192",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE INDIVIDUAL",
            "identifier": "200045552",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "1792217",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CK4990",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "5B353",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.