Individual provider Active NPI

Carol R Redillas, MD

  • Neurology Physician
  • Chalmette, LA
National Provider Identifier
1629023908
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD.15249R Issued in LA
Practice address
2116 Pakenham Dr
Chalmette, LA 70043-4722
Phone
(504) 301-1468
Fax
(504) 301-2934
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD.15249R LA Primary

Addresses

Primary practice location

2116 Pakenham Dr
Chalmette, LA 70043-4722

Mailing address

2116 Pakenham Dr
Chalmette, LA 70043-4722
Phone (504) 301-1468

Other identifiers 1

IdentifierTypeStateIssuer
1172600MedicaidLA

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
I20040303001225 LA Practitioner - Neurology 8123915055 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2801 Napoleon Ave
2ND Floor
New Orleans, LA 70115-6915
Phone (504) 301-1468

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Pain and Neuroscience CurrentSince Jun 3, 2013 Accepting new patients
Crescent City Headache and Neurology Center LLC Neurology CurrentSince May 1, 2013 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Feb 1, 2004 Accepting new patients
Ochsner Clinic LLC CurrentSince Feb 1, 2004 Accepting new patients

Locations

8050 W Judge Perez Dr
Ste 3500
Chalmette, LA 70043
Phone (504) 301-1468

2116 Pakenham Dr
Chalmette, LA 70043
Phone (504) 301-1468

1514 Jefferson Hwy
New Orleans, LA 70121

2801 Napoleon Ave
Fl 2
New Orleans, LA 70115
Phone (504) 300-9020

2801 Napoleon Ave
Fl 2ND
New Orleans, LA 70115
Phone (504) 301-1468

2801 Napoleon Ave
New Orleans, LA 70115
Phone (504) 300-9020

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6546/brand/1/csg/1/fhir/r4
  • Direct secure messaging: carol.redillas.1@6710.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/6710/brand/1/csg/1/fhir/r4

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 1

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1629023908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 PAKENHAM DR",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700434722",
            "telephone_number": "504-301-1468",
            "fax_number": "504-301-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 PAKENHAM DR",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700434722",
            "telephone_number": "504-301-1468",
            "fax_number": "504-301-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDILLAS",
        "first_name": "CAROL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "MD.15249R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1172600",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalmette, LA

Sources for this page

Verify at the official NPI Registry.