Active NPI
Robert Douglas Bostick III, M.D.
- Orthopaedic Surgery Physician
- Metairie, LA
National Provider Identifier
1518916915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 023026
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1483192 | Medicaid | LA | |
| 200045552 | Other | LA | RR MEDICARE INDIVIDUAL |
| 1792217 | Other | LA | MEDICAID GROUP |
| CK4990 | Other | LA | RAILROAD MEDICARE GROUP |
| 5B353 | Other | LA | MEDICARE 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
Enrollment records 1
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
Practice addresses (Care Compare)
3001 Division St
Suite 204
Metairie, LA 70002-5855
Phone (504) 541-5800
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 023026 | LA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Group, LLC | Current | Accepting new patients | |
| Metairie Orthopedics & Sports Medicine | Orthopaedic Surgery | Current | Accepting new patients |
Locations
3001 Division St
Ste 204
Metairie, LA 70002
Phone (504) 541-5800
Interoperability endpoints
- 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.
-
- Orthopaedic Surgery Physician
- Metairie, LA
- NPI 1184288128
-
- Ambulatory Surgical Clinic/Center
- Metairie, LA
- NPI 1528369972
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.