Individual provider Active NPI

Troy James Gullage

  • Certified Registered Nurse Anesthetist
  • New Orleans, LA
National Provider Identifier
1538239678
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN085669 AP04979 Issued in LA
Practice address
1401 Foucher St
New Orleans, LA 70115-3515
Phone
(504) 897-8227
Fax
(504) 897-7008
NPI assigned
Nov 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN085669 AP04979 LA Primary

Addresses

Primary practice location

1401 Foucher St
New Orleans, LA 70115-3515

Mailing address

1911 Holiday Dr
New Orleans, LA 70114-3454
Phone (504) 398-1175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070227000087 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022110774 Reassigns benefits to 1 organization
I20220316000081 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022110774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Louisiana State University School of Medicine in New Orleans, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN085669 AP04979LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Current Accepting new patients
Kansas University Physicians Inc CurrentSince Feb 28, 2022 Accepting new patients
Childrens Hospital Anesthesia Corporation CurrentSince Jun 1, 2017 Accepting new patients
Kansas University Physicians Inc CurrentSince Feb 28, 2022 Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-3974

11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538239678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 HOLIDAY DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701143454",
            "telephone_number": "504-398-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 FOUCHER ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153515",
            "telephone_number": "504-897-8227",
            "fax_number": "504-897-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLAGE",
        "first_name": "TROY",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN085669 AP04979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.