Individual provider Active NPI

William T Elliott, MD

  • Emergency Medicine Physician
  • Metairie, LA
National Provider Identifier
1649379199
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
15767R Issued in LA
Practice address
3131 North I-10 Service Road East
Suite 308
Metairie, LA 70002-0000
Phone
(504) 833-7770
Fax
(504) 833-7796
NPI assigned
Sep 21, 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
Emergency Medicine Physician 207P00000X 15767R LA Primary

Addresses

Primary practice location

3131 North I-10 Service Road East
Suite 308
Metairie, LA 70002-0000

Mailing address

3131 North I-10 Service Road East
Suite 308
Metairie, LA 70002-0000
Phone (504) 833-7770

Other identifiers 1

IdentifierTypeStateIssuer
1066753MedicaidLA

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
I20050504000422 LA Practitioner - Emergency Medicine 7416997911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
61.89 of 100Reported as individual
Quality
60.24
Improvement activities
0
Cost
69.29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Acute Care Associates, LLC Emergency Medicine CurrentSince Sep 1, 2012 Accepting new patients
Red Stick Emergency Group LLC Emergency Medicine CurrentSince Jul 1, 2008 Accepting new patients
Baton Rouge General Medical Center Past Accepting new patients
C & M Medical Services, Inc. Past Accepting new patients
Louisiana Emergency & Trauma Specialists Emergency Medicine Past Accepting new patients

Locations

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649379199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 NORTH I-10 SERVICE ROAD EAST",
            "address_2": "SUITE 308",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700020000",
            "telephone_number": "504-833-7770",
            "fax_number": "504-833-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 NORTH I-10 SERVICE ROAD EAST",
            "address_2": "SUITE 308",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700020000",
            "telephone_number": "504-833-7770",
            "fax_number": "504-833-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "WILLIAM",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "15767R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1066753",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.