Individual provider Active NPI

Dustin Thomas Landgrave, DO

  • Adult Medicine Physician
  • Mandeville, LA
National Provider Identifier
1588314892
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
344606 Issued in LA
Practice address
1111 N Causeway Blvd
Mandeville, LA 70471-3409
Phone
(985) 674-4464
NPI assigned
Mar 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Adult Medicine Physician 207QA0505X 344606 LA Primary

Addresses

Primary practice location

1111 N Causeway Blvd
Mandeville, LA 70471-3409

Mailing address

880 City Park Ave Apt 9
New Orleans, LA 70119-3651
Phone (337) 254-7119

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
I20250211000224 LA Practitioner - Family Practice 6305226309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
William Carey University College of Osteopathic Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Belle Chasse Physician Services LLCGroup PAC ID 9335379379, 258 clinicians

Practice addresses (Care Compare)

2500 Belle Chasse Hwy
Terrytown, LA 70056-7127
Phone (504) 392-3131

Hospital & facility affiliations

  • Ochsner Home Health of New Orleans Home health agency, Metairie, LA, CCN 197203
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
344606LAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Belle Chasse Physician Services LLC CurrentSince Aug 1, 2025 Accepting new patients
Rapid Urgent Care, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Rapid Urgent Care Inc. CurrentSince Feb 1, 2025 Accepting new patients
Rapid Urgent Care, Inc Current Accepting new patients
Rapid Urgent Care, Inc. Current Accepting new patients
Ochsner Clinic Foundation Past Accepting new patients

Locations

57 Cumberland St
Bogalusa, LA 70427
Phone (985) 545-1300

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

Interoperability endpoints

  • Direct secure messaging: dlandgrave1474259@direct.ochsner.org

Organizations & group practices 6

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 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": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1588314892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 CITY PARK AVE APT 9",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701193651",
            "telephone_number": "337-254-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N CAUSEWAY BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713409",
            "telephone_number": "985-674-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDGRAVE",
        "first_name": "DUSTIN",
        "middle_name": "THOMAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-28",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "LA",
            "license": "344606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.