Active NPI
Gabriel Antonio Vargas-Bodas, M.D.
- Internal Medicine Physician
- Metairie, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD.09376R
- Practice address
- 3530 Houma Blvd Ste 300
Metairie, LA 70006-4203 - Phone
- (504) 264-5142
- Fax
- (504) 455-2648
- NPI assigned
- Sep 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 09376R | LA | |
| Internal Medicine Physician | 207R00000X | MD.09376R | LA | Primary |
Addresses
Primary practice location
3530 Houma Blvd Ste 300
Metairie, LA 70006-4203
Mailing address
3530 Houma Blvd Ste 300
Metairie, LA 70006-4203
Phone (504) 264-5142
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1936642 | Medicaid | LA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09376R | LA | MD | Internal Medicine Physician |
| MD.09376R | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PMR la Holding, LLC | Current | Accepting new patients | |
| David R Powers MD Apmc | Past | Accepting new patients | |
| Tchefuncte Cardiovascular Associates | Past | Accepting new patients | |
| Lakeview Regional Physician Group LLC | Past | Accepting new patients |
Locations
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
501 Lapalco Blvd
Gretna, LA 70056
Phone (504) 393-4376
1918 Williams Blvd
Kenner, LA 70062
Phone (504) 471-4860
3530 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 264-5142
3100 Gentilly Blvd
New Orleans, LA 70122
Phone (504) 383-0599
4710 S Carrollton Ave
New Orleans, LA 70119
Phone (504) 454-9020
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.
-
dba Jencare Senior Medical Center
- Specialist
- Miami Gardens, FL
- NPI 1700333689
LA
-
dba Kidney and Hypertension Associates
- Specialist
- Covington, LA
- NPI 1316977028
-
- Pediatrics Physician
- Covington, LA
- NPI 1285890467
-
- Specialist
- Covington, LA
- NPI 1588645303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1548369671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3530 HOUMA BLVD STE 300",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700064203",
"telephone_number": "504-264-5142",
"fax_number": "504-455-2648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3530 HOUMA BLVD STE 300",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700064203",
"telephone_number": "504-264-5142",
"fax_number": "504-455-2648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS-BODAS",
"first_name": "GABRIEL",
"middle_name": "ANTONIO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "09376R",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "MD.09376R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1936642",
"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 Mar 6, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.