Roland Anthony Leblanc, MD
Individual provider Active NPI Emergency Medicine Physician · Kenner, LA
NPI 1669415485 · NPPES record last updated Jun 5, 2014
Key facts
- NPI
- 1669415485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 022891 (LA)
- Practice address
- 180 W Esplanade Ave
Kenner, LA 70065-2467 - Phone
- (504) 305-4959
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Louisiana State University School of Medicine in New Orleans, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kenner Emergency Group LLC
Practice addresses (Care Compare)
180 W Esplanade Ave
Kenner, LA 70065-6001
Phone (504) 468-8600
Hospital & facility affiliations
- Ochsner Medical Center-Kenner
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041118000468 | LA | Practitioner - Emergency Medicine | 0749244762 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenner Emergency Group LLC | Emergency Medicine | Current |
Accepting new patients |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Thibodaux Emergency Physicians Group LLC | Emergency Medicine | Current |
Accepting new patients |
| Ochsner Clinic LLC | Current |
Accepting new patients | |
| Ochsner Clinic LLC | Current |
Accepting new patients | |
| St. John Emergency Group LLC | Emergency Medicine | Current |
Accepting new patients |
| Luling Emergency Group LLC | Emergency Medicine | Current |
Accepting new patients |
Locations
180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284
500 Rue de Sante
La Place, LA 70068
Phone (504) 652-7000
1900 W Airline Hwy
La Place, LA 70068
Phone (985) 652-7000
200 Corporate Blvd
Ste 201
Lafayette, LA 70508
1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655
1514 Jefferson Hwy
New Orleans, LA 70121
100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131
602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544
Interoperability endpoints
- rleblanc25965@direct.ochsner.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 022891 | LA | Yes |
Addresses
Primary practice location
180 W Esplanade Ave
Kenner, LA 70065-2467
Mailing address
200 Corporate Blvd
Suite 201
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1491799 | Medicaid | LA |
Other providers in Kenner, LA
- Leading Edge Services International Inc
- Leading Edge Services International, Inc.
- Kimberly Leaks
- Danielle Leblanc
- Domonique Leblanc
- Sharon M Leboeuf
- Aimee Ledet
- Leon Jamal Ledet
- Gloria Lee
- Reuben N Lee
All providers in Kenner, LA · Emergency Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.