Individual provider Active NPI

Susan Penton Caldwell, MD

  • Internal Medicine Physician
  • Metairie, LA
National Provider Identifier
1528055340
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD025102 Issued in LA
Practice address
4315 Houma Blvd Ste 401
Metairie, LA 70006-2941
Phone
(504) 503-5123
Fax
(504) 503-5129
NPI assigned
Oct 6, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 025102 LA
Internal Medicine Physician 207R00000X MD025102 LA Primary

Addresses

Primary practice location

4315 Houma Blvd Ste 401
Metairie, LA 70006-2941

Mailing address

1100 Poydras St
2500 Energy Centre
New Orleans, LA 70163-2500
Phone (504) 527-9953

Other identifiers 2

IdentifierTypeStateIssuer
1420328MedicaidLA
02980540MedicaidMS

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
I20050129000057 LA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6709836513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Jefferson Physicians Group LLCGroup PAC ID 4587660402, 211 clinicians

Practice addresses (Care Compare)

4315 Houma Blvd
Suite 401
Metairie, LA 70006-2941
Phone (504) 503-5123

Hospital & facility affiliations

  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • Touro Infirmary Hospital, New Orleans, LA, CCN 190046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD025102LAMDInternal Medicine Physician
025102LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC Internal Medicine CurrentSince Sep 26, 2021 Accepting new patients
Michael E Isabelle MD Apmc Past Accepting new patients
Morning Star Rising, Inc. Internal Medicine PastSince Mar 12, 2024 Accepting new patients
Houma Emergency Medicine Associates LLC Past Accepting new patients

Locations

301 Rue de Sante
La Place, LA 70068
Phone (985) 652-2441

4315 Houma Blvd
Ste 401
Metairie, LA 70006
Phone (504) 503-5123

4300 Houma Blvd
Ste 202
Metairie, LA 70006
Phone (504) 503-6791

701 Metairie Rd
Ste 2A208
Metairie, LA 70005
Phone (504) 832-0646

4224 Houma Blvd
Ste 520
Metairie, LA 70006
Phone (504) 885-4003

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

4300 Houma Blvd
Metairie, LA 70006
Phone (504) 454-1724

7030 Canal Blvd
Fl 2
New Orleans, LA 70124
Phone (504) 503-6760

1100 Poydras St
Ste 2500
New Orleans, LA 70163
Phone (504) 527-9953

Interoperability endpoints

  • Direct secure messaging: susan.caldwell@direct.ejgh.org

Organizations & group practices 4

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 6

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1528055340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 POYDRAS ST",
            "address_2": "2500 ENERGY CENTRE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701632500",
            "telephone_number": "504-527-9953",
            "fax_number": "504-527-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 HOUMA BLVD STE 401",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062941",
            "telephone_number": "504-503-5123",
            "fax_number": "504-503-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "SUSAN",
        "middle_name": "PENTON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "025102",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD025102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1420328",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02980540",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.