Individual provider Active NPI

Marcelle Marie Rousseau, M.D.

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1619168317
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200431 Issued in LA
Practice address
2021 Perdido St
Medical Home Clinic
New Orleans, LA 70112-1352
Phone
(504) 903-3000
Fax
(504) 903-5157
NPI assigned
Aug 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 200431 LA
Internal Medicine Physician 207R00000X 200431 LA Primary

Addresses

Primary practice location

2021 Perdido St
Medical Home Clinic
New Orleans, LA 70112-1352

Mailing address

2021 Perdido St
Medical Home Clinic
New Orleans, LA 70112-1352
Phone (504) 903-3000

Other identifiers 1

IdentifierTypeStateIssuer
1-07388-1MedicaidLA

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
I20090825000028 LA Practitioner - Internal Medicine 4789738832 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2832 Burdette St
New Orleans, LA 70125-2514
Phone (504) 866-2741

3700 Saint Charles Ave
New Orleans, LA 70115-4637
Phone (504) 412-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.21 of 100Reported as group
Quality
81.06
Promoting interoperability
100
Improvement activities
40
Cost
71.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200431LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center Management Corporation Internal Medicine CurrentSince Jun 24, 2013 Accepting new patients
University Medical Center Management Corporation CurrentSince Jun 24, 2013 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jan 12, 2014 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jan 12, 2014 Accepting new patients
Touro Infirmary Past Accepting new patients

Locations

3700 Saint Charles Ave
Fl 5
New Orleans, LA 70115
Phone (504) 412-1520

2021 Perdido St
New Orleans, LA 70112
Phone (504) 412-1800

2025 Gravier St
Fl 6
New Orleans, LA 70112

3700 Saint Charles Ave
Fl Fifth
New Orleans, LA 70115

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

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

3700 Saint Charles Ave
Fl 2
New Orleans, LA 70115
Phone (504) 412-1366

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

3700 Saint Charles Ave
#6
New Orleans, LA 70115

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1619168317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 PERDIDO ST",
            "address_2": "MEDICAL HOME CLINIC",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121352",
            "telephone_number": "504-903-3000",
            "fax_number": "504-903-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 PERDIDO ST",
            "address_2": "MEDICAL HOME CLINIC",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121352",
            "telephone_number": "504-903-3000",
            "fax_number": "504-903-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSEAU",
        "first_name": "MARCELLE",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "200431",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "200431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1-07388-1",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.