Individual provider Active NPI

Fred Defrancesch, MD

  • Physical Medicine & Rehabilitation Physician
  • Metairie, LA
National Provider Identifier
1558460261
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
022596 Issued in LA
Practice address
3001 19TH St
Metairie, LA 70002-4906
Phone
(504) 469-9641
Fax
(504) 469-9642
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Spinal Cord Injury Medicine Physician 2081P0004X 022596 LA
Interventional Pain Medicine Physician 208VP0014X 022596 LA
Physical Medicine & Rehabilitation Physician 208100000X 022596 LA Primary

Addresses

Primary practice location

3001 19TH St
Metairie, LA 70002-4906

Mailing address

3001 19TH St
Metairie, LA 70002-4906
Phone (504) 469-9641

Other practice location 1

42078 Veterans Ave Ste G
Hammond, LA 70403-1490
Phone (985) 542-7177

Other practice location 2

18212 E Petroleum Dr Bldg 6
Baton Rouge, LA 70809-6133
Phone (225) 224-8096

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
I20110118000717 LA Practitioner - Physical Medicine and Rehabilitation 9133103526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Louisiana State University School of Medicine in New Orleans, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuromuscular Medical Association LLCGroup PAC ID 3173506631, 3 clinicians

Practice addresses (Care Compare)

3001 19TH St
Metairie, LA 70002-4906
Phone (504) 469-9641

42078 Veterans Ave
Suite G
Hammond, LA 70403-1490
Phone (985) 542-7177

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022596LAMDSpinal Cord Injury Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Intervention, LLC PastSince Dec 25, 2011 Accepting new patients
Medical Specialists of New Orleans, Inc Past Accepting new patients
Medical Specialists of New Orleans Past Accepting new patients
Palafox Leasing LLC PastSince Sep 16, 2015 Accepting new patients

Organizations & group practices 5

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 1

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1558460261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 19TH ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024906",
            "telephone_number": "504-469-9641",
            "fax_number": "985-479-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 19TH ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024906",
            "telephone_number": "504-469-9641",
            "fax_number": "504-469-9642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42078 Veterans Ave Ste G",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031490",
            "country_code": "US",
            "telephone_number": "985-542-7177",
            "fax_number": "985-340-7078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18212 E Petroleum Dr Bldg 6",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708096133",
            "country_code": "US",
            "telephone_number": "225-224-8096",
            "fax_number": "985-340-7078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEFRANCESCH",
        "first_name": "FRED",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "LA",
            "license": "022596",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "LA",
            "license": "022596",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "022596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.