Individual provider Active NPI

Scott Sulik Jr., MD

  • Emergency Medicine Physician
  • Kenner, LA
National Provider Identifier
1609295260
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
306838 Issued in LA
Practice address
180 W Esplanade Ave
Kenner, LA 70065-2467
Phone
(504) 464-8015
NPI assigned
Apr 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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
Emergency Medicine Physician 207P00000X 306838 LA Primary

Addresses

Primary practice location

180 W Esplanade Ave
Kenner, LA 70065-2467

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

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
I20171002001747 LA Practitioner - Emergency Medicine 0345567764 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in Shreveport, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Belle Chasse Emergency Group LLCGroup PAC ID 7113140070, 95 clinicians
Kenner Emergency Group LLCGroup PAC ID 8426011230, 52 clinicians

Practice addresses (Care Compare)

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000

180 W Esplanade Ave
Kenner, LA 70065-6001
Phone (504) 468-8600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
306838LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kenner Emergency Group LLC Emergency Medicine CurrentSince Sep 23, 2017 Accepting new patients
St. John Emergency Group LLC Emergency Medicine CurrentSince Jan 4, 2020 Accepting new patients
Luling Emergency Group LLC Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 9, 2017 Accepting new patients
Coolidge Emergency Group LLC Emergency Medicine CurrentSince Apr 30, 2023 Accepting new patients
Vincent Emergency Group, LLC Emergency Medicine CurrentSince May 19, 2023 Accepting new patients
Ambassador Emergency Group LLC Emergency Medicine CurrentSince Apr 30, 2023 Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 9, 2017 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Belle Chasse Emergency Group LLC Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients

Locations

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

1900 W Airline Hwy
La Place, LA 70068
Phone (985) 652-7000

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655

1516 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 833-2337

1401 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 842-4747

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
#9390
Raceland, LA 70394
Phone (225) 336-3100

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

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

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

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

Interoperability endpoints

  • Direct secure messaging: ssulik470229@direct.ochsner.org

Organizations & group practices 10

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": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609295260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W ESPLANADE AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652467",
            "telephone_number": "504-464-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULIK",
        "first_name": "SCOTT",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "306838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.