Individual provider Active NPI

Eric Todd Siegel, M.D.

  • Obstetrics & Gynecology Physician
  • Picayune, MS
National Provider Identifier
1609142306
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25483 Issued in MS
Practice address
128 Highland Pkwy Ste 202
Picayune, MS 39466-5578
Phone
(601) 358-9422
NPI assigned
Mar 27, 2012
Last updated
Apr 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 305004 LA
Obstetrics & Gynecology Physician 207V00000X 25483 MS Primary

Addresses

Primary practice location

128 Highland Pkwy Ste 202
Picayune, MS 39466-5578

Mailing address

3600 Prytania St
Ste 35
New Orleans, LA 70115-3678
Phone (504) 897-8412

Other practice location 1

1542 Tulane Ave
New Orleans, LA 70112-2865
Phone (504) 568-4890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180227002501 MS Practitioner - Obstetrics/Gynecology 4981982139 Reassigns benefits to 2 organizations
I20200505000714 LA Practitioner - Obstetrics/Gynecology 4981982139 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Georgia School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woman's Assessment Center PhysiciansGroup PAC ID 4789750829, 4 clinicians

Practice addresses (Care Compare)

100 Womans Way
Baton Rouge, LA 70817-5100
Phone (225) 924-8645

Merit-based Incentive Payment System (MIPS)

Final score
76.25 of 100Reported as group
Quality
71.6
Improvement activities
40
Cost
72.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Mississippi, P.C. Obstetrics & Gynecology CurrentSince Sep 1, 2022 Accepting new patients
Woman's Assessment Center Physicians Obstetrics & Gynecology CurrentSince Mar 1, 2026 Accepting new patients
Highland Community Hospital Physicians Obstetrics & Gynecology CurrentSince Jan 1, 2018 Accepting new patients
Crescent City Physicians, Inc. Obstetrics & Gynecology CurrentSince Jun 1, 2020 Accepting new patients
Touro Infirmary PastSince Jun 1, 2020 Accepting new patients

Locations

100 Womans Way
Baton Rouge, LA 70817
Phone (225) 293-2324

100 W Harrison Ave
Ste 101
New Orleans, LA 70124
Phone (504) 325-2929

1401 Foucher St
#2
New Orleans, LA 70115

1401 Foucher St
Fl 1
New Orleans, LA 70115
Phone (504) 897-7732

1401 Foucher St
Fl 2
New Orleans, LA 70115
Phone (504) 210-4472

2820 Canal St
New Orleans, LA 70119
Phone (504) 821-8158

3525 Prytania St
Ste 206
New Orleans, LA 70115
Phone (504) 897-8281

3600 Prytania St
Ste 35
New Orleans, LA 70115
Phone (504) 897-7197

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

128 Highland Pkwy
Ste 202
Picayune, MS 39466
Phone (601) 358-9422

146 Highland Pkwy
Ste C
Picayune, MS 39466
Phone (601) 358-9765

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1609142306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 PRYTANIA ST",
            "address_2": "STE 35",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153678",
            "telephone_number": "504-897-8412",
            "fax_number": "504-249-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 HIGHLAND PKWY STE 202",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394665578",
            "telephone_number": "601-358-9422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1542 Tulane Ave",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701122865",
            "country_code": "US",
            "telephone_number": "504-568-4890",
            "fax_number": "504-568-6496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "ERIC",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-27",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "305004",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "25483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Picayune, MS

Sources for this page

Verify at the official NPI Registry.