Individual provider Active NPI

Fredric Gary Regenstein, MD

  • Hepatology Physician
  • Kansas City, MO
National Provider Identifier
1609977768
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hepatology PhysicianTaxonomy code 207RI0008X
License
07834R Issued in LA
Practice address
4320 Wornall Rd
Suite 240
Kansas City, MO 64111-5941
Phone
(816) 932-7900
Fax
(816) 932-7920
NPI assigned
Sep 25, 2006
Last updated
Jan 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hepatology Physician 207RI0008X 07834R LA Primary
Transplant Hepatology Physician 207RT0003X R9479 MO

Addresses

Primary practice location

4320 Wornall Rd
Suite 240
Kansas City, MO 64111-5941

Mailing address

1430 Tulane Ave
# 8535
New Orleans, LA 70112-2632
Phone (816) 932-7940

Other identifiers 5

IdentifierTypeStateIssuer
009942107MedicaidAL
009913256MedicaidAL
1609977768MedicaidMO
05978098MedicaidMS
1380890MedicaidLA

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
I20070824000023 LA Practitioner - Gastroenterology 7315039179 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Administrators of the Tulane Educational FundGroup PAC ID 0446163760, shared by 3 NPIs, 388 clinicians

Practice addresses (Care Compare)

1415 Tulane Ave
New Orleans, LA 70112-2600
Phone (504) 988-5800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
07834RLAMDHepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Sep 1, 2014 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Sep 1, 2014 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Sep 1, 2014 Accepting new patients
Tuhc Physician Group LLC Past Accepting new patients
University Healthcare Systems, LC Past Accepting new patients
University Healthcare System, L.C. Past Accepting new patients
University Healthcare System, LC Past Accepting new patients

Locations

101 Judge Tanner Blvd
Ste 404
Covington, LA 70433
Phone (985) 867-4223

101 Judge Tanner Blvd
Ste 406
Covington, LA 70433
Phone (985) 892-9143

71211 Highway 21
Ste B
Covington, LA 70433
Phone (985) 893-9922

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

95 Judge Tanner Blvd
Ste 302
Covington, LA 70433
Phone (985) 867-4285

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

4320 Houma Blvd
Ste 700
Metairie, LA 70006
Phone (504) 988-5344

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1415 Tulane Ave
#26
New Orleans, LA 70112
Phone (504) 588-2300

1415 Tulane Ave
#71
New Orleans, LA 70112
Phone (504) 988-5881

1415 Tulane Ave
Fl 6
New Orleans, LA 70112
Phone (504) 988-5110

1430 Tulane Ave
#8535
New Orleans, LA 70112

1450 Poydras St
New Orleans, LA 70112
Phone (504) 903-2373

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

2000 Canal St
Fl 4
New Orleans, LA 70112

2000 Canal St
Fl 5
New Orleans, LA 70112
Phone (504) 702-4333

275 Lasalle St
New Orleans, LA 70112
Phone (504) 988-1095

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1609977768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE",
            "address_2": "# 8535",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "816-932-7940",
            "fax_number": "816-932-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 WORNALL RD",
            "address_2": "SUITE 240",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115941",
            "telephone_number": "816-932-7900",
            "fax_number": "816-932-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGENSTEIN",
        "first_name": "FREDRIC",
        "middle_name": "GARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "LA",
            "license": "07834R",
            "primary": true
        },
        {
            "code": "207RT0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Transplant Hepatology",
            "state": "MO",
            "license": "R9479",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009942107",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009913256",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609977768",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05978098",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1380890",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.