Individual provider Active NPI

Richard Witzig, MD

  • Infectious Disease Physician
  • Metairie, LA
National Provider Identifier
1659465698
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
08457R Issued in LA
Practice address
4315 Houma Blvd
Suite 201
Metairie, LA 70006-2940
Phone
(504) 455-4622
Fax
(504) 455-4688
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 08457R LA Primary
Hospitalist Physician 208M00000X MD.08457R LA

Addresses

Primary practice location

4315 Houma Blvd
Suite 201
Metairie, LA 70006-2940

Mailing address

4315 Houma Blvd
Suite 201
Metairie, LA 70006-2940
Phone (504) 455-4622

Other identifiers 1

IdentifierTypeStateIssuer
1937649MedicaidLA

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
I20110105001104 LA Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Infectious Disease 8022207182 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
08457RLAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC CurrentSince Sep 26, 2021 Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
Infectious Disease Associates PastSince Jan 1, 2020 Accepting new patients
Dwight L. Roberson, M.D. Inc. Past Accepting new patients

Locations

4315 Houma Blvd
Ste 201
Metairie, LA 70006
Phone (504) 455-4622

4224 Houma Blvd
Ste 520
Metairie, LA 70006
Phone (504) 885-4003

4200 Houma Blvd
#5
Metairie, LA 70006

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

4200 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4331

4300 Houma Blvd
Ste 202
Metairie, LA 70006
Phone (504) 503-6791

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1659465698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 HOUMA BLVD",
            "address_2": "SUITE 201",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062940",
            "telephone_number": "504-455-4622",
            "fax_number": "504-455-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 HOUMA BLVD",
            "address_2": "SUITE 201",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062940",
            "telephone_number": "504-455-4622",
            "fax_number": "504-455-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITZIG",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "LA",
            "license": "08457R",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "MD.08457R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1937649",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.