Individual provider Active NPI

Ross Patrick Mestayer, M.D.

  • Anesthesiology Physician
  • Slidell, LA
National Provider Identifier
1629145313
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD.14383R Issued in LA
Practice address
1700 Lindberg Dr
Slidell, LA 70458-8062
Phone
(985) 641-8008
NPI assigned
Nov 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD.14383R LA Primary

Addresses

Primary practice location

1700 Lindberg Dr
Slidell, LA 70458-8062

Mailing address

PO Box 3249
Slidell, LA 70459-3249
Phone (985) 641-8008

Other identifiers 1

IdentifierTypeStateIssuer
1573558MedicaidLA

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
I20110714000724 LA Practitioner - Anesthesiology 8729261847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northlake Anesthesiologists, a Professional CorporationGroup PAC ID 3072597681, 19 clinicians

Practice addresses (Care Compare)

1700 Lindberg Dr
Slidell, LA 70458-8062
Phone (985) 641-0600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northlake Anesthesiologists, a Professional Corporation Anesthesiology CurrentSince Jul 15, 2002 Accepting new patients
Symvios Anesthesia LLC Anesthesiology CurrentSince Jan 1, 2026 Accepting new patients
The Spine Management Center,LLC Past Accepting new patients
A. Waring, LLC Past Accepting new patients

Locations

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

1700 Lindberg Dr
Slidell, LA 70458
Phone (985) 641-0600

995 Robert Blvd
Slidell, LA 70458
Phone (985) 520-0909

Organizations & group practices 4

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 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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629145313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3249",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704593249",
            "telephone_number": "985-641-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 LINDBERG DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588062",
            "telephone_number": "985-641-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESTAYER",
        "first_name": "ROSS",
        "middle_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "MD.14383R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1573558",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.