Active NPI
Susan Penton Caldwell, MD
- Internal Medicine Physician
- Metairie, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD025102
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1420328 | Medicaid | LA | |
| 02980540 | Medicaid | MS |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050129000057 | LA | Practitioner - Internal Medicine | 6709836513 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal 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 LLC
Practice addresses (Care Compare)
4315 Houma Blvd
Suite 401
Metairie, LA 70006-2941
Phone (504) 503-5123
Hospital & facility affiliations
- East Jefferson General Hospital
- Touro Infirmary
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD025102 | LA | MD | Internal Medicine Physician |
| 025102 | LA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Jefferson Physicians Group LLC | Internal Medicine | Current | Accepting new patients |
| Michael E Isabelle MD Apmc | Past | Accepting new patients | |
| Morning Star Rising, Inc. | Internal Medicine | Past | 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
- 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.
-
- Internal Medicine Physician
- New Orleans, LA
- NPI 1922293372
Internal Medicine, LA
-
- Emergency Medicine Physician
- Houma, LA
- NPI 1003855438
-
- Emergency Medicine Physician
- Houma, LA
- NPI 1083883474
-
- Women's Health Nurse Practitioner
- New Orleans, LA
- NPI 1295114031
Internal Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.