Active NPI
Dean S Edell, MD,MPH
- Pediatric Pulmonology Physician
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- 09610R
- Practice address
- 8200 Constantin Blvd FL 3
Baton Rouge, LA 70809-3481 - Phone
- (225) 765-5500
- Fax
- (225) 765-1899
- NPI assigned
- Sep 21, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | 09610R | LA | Primary |
Addresses
Primary practice location
8200 Constantin Blvd FL 3
Baton Rouge, LA 70809-3481
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 765-5500
Other practice location 1
4704 Ambassador Caffery Pkwy
Lafayette, LA 70508-6908
Phone (337) 470-5920
Other practice location 2
200 Henry Clay Ave
Suite 2023 Childrens's Hospital.
New Orleans, LA 70118-5720
Phone (504) 896-9436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1965162 | Medicaid | LA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dedell16265@direct.casso.us.com | Direct | |
| FHIR URL | https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Other |
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
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
211 4TH St
Alexandria, LA 71301-8421
Phone (318) 769-3152
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09610R | LA | MD | Pediatric Pulmonology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rapides Healthcare System, LLC | Pediatric Pulmonology | Current | Accepting new patients |
| Our Lady of the Lake Physician Group LLC | Current | Accepting new patients | |
| Our Lady of the Lake Physician Group LLC | Current | Accepting new patients | |
| Rapides Healthcare System LLC | Current | Accepting new patients | |
| Pediatric Pulmonary & Critical Care | Pediatric Pulmonology | Past | Accepting new patients |
| Children' S Hospital | Past | Accepting new patients |
Locations
501 Medical Center Dr
Ste 4B
Alexandria, LA 71301
Phone (318) 443-1508
501 Medical Center Dr
Ste B
Alexandria, LA 71301
211 4th St
Alexandria, LA 71301
Phone (318) 473-3000
501 Medical Center Dr
Ste 3A
Alexandria, LA 71301
Phone (318) 484-3899
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011
8200 Constantin Blvd
Fl 3
Baton Rouge, LA 70809
Phone (225) 765-1982
4704 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-5920
Interoperability endpoints
- dedell16265@direct.casso.us.com
Organizations & group practices 7
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.
-
- Pediatric Pulmonology Physician
- Alexandria, LA
- NPI 1366618837
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1033494943
-
- Family Medicine Physician
- Lafayette, LA
- NPI 1437405883
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Baton Rouge, LA
- NPI 1235912502
-
- Internal Medicine Physician
- Mamou, LA
- NPI 1174609200
-
- Children's Hospital
- New Orleans, LA
- NPI 1508954751
-
- Pediatric Pulmonology Physician
- New Orleans, LA
- NPI 1013982990
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, LA
- NPI 1477500015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1568458073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 S SHERWOOD FOREST BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708166038",
"telephone_number": "225-765-5500",
"fax_number": "225-765-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 CONSTANTIN BLVD FL 3",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093481",
"telephone_number": "225-765-5500",
"fax_number": "225-765-1899"
}
],
"practiceLocations": [
{
"address_1": "4704 Ambassador Caffery Pkwy",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "LA",
"postal_code": "705086908",
"country_code": "US",
"telephone_number": "337-470-5920",
"fax_number": "855-431-6867",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Henry Clay Ave",
"address_2": "Suite 2023 Childrens's Hospital.",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701185720",
"country_code": "US",
"telephone_number": "504-896-9436",
"fax_number": "504-896-3993",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDELL",
"first_name": "DEAN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD,MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "LA",
"license": "09610R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1965162",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dedell16265@direct.casso.us.com",
"affiliation": "N",
"endpointDescription": "FMOLHS-Epic",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "dedell16265@direct.casso.us.com",
"address_1": "8200 Constantin Blvd Fl 3",
"city": "Baton Rouge",
"state": "LA",
"country_code": "US",
"postal_code": "708093481",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FMOLHS FHIR URL",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "8200 Constantin Blvd Fl 3",
"city": "Baton Rouge",
"state": "LA",
"country_code": "US",
"postal_code": "708093481",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.