Organization Active NPI

Robert Ancira, M.D., a Medical Corporation

  • Psychiatry Physician
  • New Orleans, LA
National Provider Identifier
1598036683
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
012137 Issued in LA
Legal business name
ROBERT ANCIRA, M.D., A MEDICAL CORPORATION
Practice address
1325 Amelia St
New Orleans, LA 70115-3625
Phone
(504) 891-8503
Fax
(504) 891-9428
NPI assigned
Jan 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Dr. Robert Ancira, M.D.NPI 1063428092
Title
Owner
Phone
(504) 891-8503

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 012137 LA Primary

Addresses

Primary practice location

1325 Amelia St
New Orleans, LA 70115-3625

Mailing address

1325 Amelia St
New Orleans, LA 70115-3625
Phone (504) 891-8503

Other identifiers 1

IdentifierTypeStateIssuer
1164739MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120221000741 LA Part B Supplier - Clinic/Group Practice 2466532387 Receives reassigned benefits from 1 practitioner
Practice locations: New Orleans, LA

National Provider Directory

National Provider Directory

Locations

1325 Amelia St
New Orleans, LA 70115
Phone (504) 891-5807

1325 Amelia St
#200
New Orleans, LA 70115
Phone (504) 891-8503

1325 Amelia St
Ste 200
New Orleans, LA 70115

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1598036683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 AMELIA ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153625",
            "telephone_number": "504-891-8503",
            "fax_number": "504-891-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 AMELIA ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153625",
            "telephone_number": "504-891-8503",
            "fax_number": "504-891-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT ANCIRA, M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "ANCIRA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-891-8503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "012137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164739",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.