NPIMap

Individual provider Active NPI

Ira Eugene Gaddy IV, M.D.

  • Psychiatry Physician
  • New Orleans, LA
National Provider Identifier
1578747036
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
PGY.2.TUL-PSY Issued in LA
Practice address
1440 Canal St
TB 53
New Orleans, LA 70112-2703
Phone
(504) 988-4272
NPI assigned
Dec 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X PGY.2.TUL-PSY LA Primary

Addresses

Primary practice location

1440 Canal St
TB 53
New Orleans, LA 70112-2703

Mailing address

1440 Canal St
TB 53
New Orleans, LA 70112-2703
Phone (504) 988-4272

Other practice location 1

900 N Orange St Ste 206
Missoula, MT 59802-2951
Phone (406) 327-3362

Other identifiers 1

IdentifierTypeStateIssuer
00000OtherUNKNOWN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address igaddy291904@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101020000867 MT Practitioner - Psychiatry 4082807284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Tulane University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians

Practice addresses (Care Compare)

500 W Broadway St
Missoula, MT 59802-4003

500 W Broadway St
Missoula, MT 59802-4096

500 W Broadway St 3Rd FL
Missoula, MT 59802-4096

900 N Orange St
Missoula, MT 59802-2951

902 N Orange St
Missoula, MT 59802-2951

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PGY.2.TUL-PSYLAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic CurrentSince Jul 17, 2023 Accepting new patients
Providence Health & Services Mt Current Accepting new patients
Providence Health & Services Mt CurrentSince Jul 24, 2013 Accepting new patients
Providence Health & Services Mt CurrentSince Jul 24, 2013 Accepting new patients
Billings Clinic CurrentSince Jul 17, 2023 Accepting new patients
Billings Clinic Current Accepting new patients
Tulane School Department of Psychiatry Past Accepting new patients
Providence Health & Services Mt Past Accepting new patients

Locations

2950 10th Ave N
Billings, MT 59101
Phone (406) 657-3901

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

900 N Orange St
Ste 206
Missoula, MT 59802
Phone (406) 728-7475

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945

Interoperability endpoints

  • Direct secure messaging: igaddy291904@wm.providencedirect.org
  • Direct secure messaging: ira.gaddyivmd@direct.mybaycare.org

Organizations & group practices 8

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 4

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": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1578747036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 CANAL ST",
            "address_2": "TB 53",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122703",
            "telephone_number": "504-988-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 CANAL ST",
            "address_2": "TB 53",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122703",
            "telephone_number": "504-988-4272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 N Orange St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598022951",
            "country_code": "US",
            "telephone_number": "406-327-3362",
            "fax_number": "406-327-3349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GADDY",
        "first_name": "IRA",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "PGY.2.TUL-PSY",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNKNOWN",
            "identifier": "00000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "igaddy291904@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "900 N Orange St Ste 206",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598022951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.