NPIMap

Individual provider Active NPI

Pedro N Romaguera, MD

  • Internal Medicine Physician
  • Metairie, LA
National Provider Identifier
1659303857
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.09148R Issued in LA
Practice address
3901 Houma Blvd Ste 501
Metairie, LA 70006-2927
Phone
(504) 779-3507
Fax
(504) 779-3508
NPI assigned
Jul 7, 2006
Last updated
Feb 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.09148R LA Primary

Addresses

Primary practice location

3901 Houma Blvd Ste 501
Metairie, LA 70006-2927

Mailing address

3901 Houma Blvd Ste 501
Metairie, LA 70006-2927
Phone (504) 779-3507

Other identifiers 1

IdentifierTypeStateIssuer
1932523MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040623000551 LA Practitioner - Internal MedicinePractitioner - Family Practice 6103801196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3901 Houma Blvd
Suite 108
Metairie, LA 70006-2930
Phone (504) 779-3507

4200 Houma Blvd
Metairie, LA 70006-2970
Phone (504) 503-6565

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.09148RLAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pedro Romaguera, Apmc Internal Medicine CurrentSince Jul 15, 2008 Accepting new patients
East Jefferson Physicians Group LLC Internal Medicine CurrentSince Dec 24, 2024 Accepting new patients
Angie Medical Clinic,LLC Past Accepting new patients
Jefferson Healthcare Center LLC Past Accepting new patients
Nexion Health at Marrero, Inc. Past Accepting new patients
Metairie Physician Services Inc. Internal Medicine Past Accepting new patients

Locations

3901 Houma Blvd
#1
Metairie, LA 70006
Phone (504) 779-3507

3901 Houma Blvd
Ste 108
Metairie, LA 70006
Phone (504) 784-8840

3901 Houma Blvd
Ste 501
Metairie, LA 70006
Phone (504) 344-1047

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

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

4300 Houma Blvd
Metairie, LA 70006
Phone (504) 454-1724

4300 Houma Blvd
Ste 108
Metairie, LA 70006
Phone (504) 455-2771

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

Interoperability endpoints

  • Direct secure messaging: pedro.romaguera.1@16745.direct.athenahealth.com
  • Direct secure messaging: promagueraapmc@docvilladirect.com

Organizations & group practices 6

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 8

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1659303857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 HOUMA BLVD STE 501",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062927",
            "telephone_number": "504-779-3507",
            "fax_number": "504-779-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 HOUMA BLVD STE 501",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062927",
            "telephone_number": "504-779-3507",
            "fax_number": "504-779-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAGUERA",
        "first_name": "PEDRO",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.09148R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932523",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.