Individual provider Active NPI

Stephen Wayne Landreneau, M.D.

  • Gastroenterology Physician
  • New Orleans, LA
National Provider Identifier
1578630232
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
204446 Issued in LA
Practice address
1542 Tulane Ave
Box T4-M2
New Orleans, LA 70112-2865
Phone
(504) 568-4498
Fax
(504) 568-2127
NPI assigned
Nov 29, 2006
Last updated
Oct 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 204446 LA Primary

Addresses

Primary practice location

1542 Tulane Ave
Box T4-M2
New Orleans, LA 70112-2865

Mailing address

1542 Tulane Ave
Box T4-M2
New Orleans, LA 70112-2865
Phone (504) 568-4498

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
I20110826000253 LA Practitioner - GastroenterologyPractitioner - Internal Medicine 3779675509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000

2832 Burdette St
New Orleans, LA 70125-2514
Phone (504) 866-2741

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.21 of 100Reported as group
Quality
81.06
Promoting interoperability
100
Improvement activities
40
Cost
71.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
204446LAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jul 1, 2011 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jul 1, 2011 Accepting new patients
Crescent City Physicians, Inc. PastSince May 1, 2004 Accepting new patients

Locations

1020 Saint Andrew St
New Orleans, LA 70130

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

1542 Tulane Ave
#T4M2
New Orleans, LA 70112
Phone (504) 568-2577

1542 Tulane Ave
Ste 659
New Orleans, LA 70112
Phone (504) 568-2314

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

2000 Canal St
Fl 2
New Orleans, LA 70112
Phone (504) 702-2275

2021 Perdido St
New Orleans, LA 70112
Phone (504) 412-1800

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

3700 Saint Charles Ave
#6
New Orleans, LA 70115

3700 Saint Charles Ave
Fl 4
New Orleans, LA 70115
Phone (504) 897-7007

Organizations & group practices 3

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1578630232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 TULANE AVE",
            "address_2": "BOX T4-M2",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122865",
            "telephone_number": "504-568-4498",
            "fax_number": "504-568-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 TULANE AVE",
            "address_2": "BOX T4-M2",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122865",
            "telephone_number": "504-568-4498",
            "fax_number": "504-568-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRENEAU",
        "first_name": "STEPHEN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "204446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.